Individual
PHYLLIS KELLY WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S 8TH ST, GRIFFIN, GA 30224-4213
(770) 467-6314
(770) 467-6324
Mailing address
601 S 8TH ST, GRIFFIN, GA 30224-4213
(770) 467-6314
(770) 467-6324
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN216745
GA
363LA2200X
Adult Health Nurse Practitioner
RN216745
GA
Other
Enumeration date
08/21/2020
Last updated
06/08/2021
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