Individual
MRS. MELISSA MOORE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
12 LONDON LN SE, ROME, GA 30161-9467
(706) 346-6516
(706) 235-9107
Mailing address
12 LONDON LN SE, ROME, GA 30161-9467
(706) 346-6516
(706) 235-9107
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10063338
AMERIGROUP NUMBER
GA
Enumeration date
12/14/2006
Last updated
07/08/2007
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