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Individual

MARK GREGORY WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
106 OAK ST, THOMASVILLE, GA 31792
(229) 228-1288
(229) 228-1322
Mailing address
106 OAK ST, THOMASVILLE, GA 31792
(229) 228-1288
(229) 228-1322

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
22668
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000232988F
GA
Enumeration date
09/13/2006
Last updated
01/22/2014
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