Individual
BRUCE A WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
259 JONESBORO RD, MCDONOUGH, GA 30253-3769
(770) 957-8666
(770) 957-0375
Mailing address
290 COUNTRY CLUB DR, SUITE220, STOCKBRIDGE, GA 30281-9069
(678) 284-6300
(678) 284-6336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023516
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000240699E
—
GA
Enumeration date
01/26/2006
Last updated
03/16/2015
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