Individual
DR. MATTHEW WILLIAM WOOD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL PARK BLVD, SUITE 400 EAST, BRISTOL, TN 37620-7430
(423) 844-5400
(423) 844-5434
Mailing address
1 MEDICAL PARK BLVD, SUITE 400 EAST, BRISTOL, TN 37620-7430
(423) 844-5400
(423) 844-5434
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0000010369
TN
207T00000X
Neurological Surgery Physician
0101057302
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3195611
—
TN
05
—
6101267
—
VA
05
—
9801396000
—
WV
Enumeration date
07/31/2006
Last updated
10/11/2011
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