Individual
MR. JUSTIN DAVID WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, RDN
Contact information
Practice address
DUKE UNIVERSITY HOSPITAL 2301 ERWIN ROAD, DURHAM, NC 27710-1900
(919) 385-6941
Mailing address
916 PIROUETTE CT, RALEIGH, NC 27606-4882
(302) 750-9256
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-07491
NC
363AM0700X
Medical Physician Assistant
0010-07491
NC
363AS0400X
Surgical Physician Assistant
Primary
0010-07491
NC
Other
Enumeration date
09/15/2011
Last updated
09/30/2024
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