Individual
MARK A WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
360 COMET DR STE C, JACKSON, MS 39206-4333
(601) 473-6228
(769) 235-6832
Mailing address
360 COMET DR STE C, JACKSON, MS 39206-4333
(601) 473-6228
(769) 235-6832
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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