Individual
KEITH WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 778-1484
Mailing address
135 HELMSLEY DR NW, ATLANTA, GA 30327-4940
(404) 778-1484
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001429
GA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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