Individual
CHARLES STEVEN WOOD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
3115 AUDUBON DR, LAUREL, MS 39440-1913
(601) 531-2200
(601) 531-2220
Mailing address
3115 AUDUBON DR, LAUREL, MS 39440-1913
(601) 531-2200
(601) 531-2220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902670
MS
Other
Enumeration date
06/11/2018
Last updated
01/14/2025
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