Individual
JOHN L WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 HEMLOCK ST, MSC 142, MACON, GA 31201-2102
(478) 633-7707
(478) 633-7879
Mailing address
2490 RIVERSIDE DR, STE B, MACON, GA 31204-1787
(478) 633-6633
(478) 633-4295
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
059239
GA
207P00000X
Emergency Medicine Physician
26979
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602834254D
—
GA
Enumeration date
07/19/2006
Last updated
11/24/2014
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