Individual
MRS. KELLY COLE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
2995 REIDVILLE RD STE 210, SPARTANBURG, SC 29301-5631
(864) 587-3000
(864) 587-3019
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20804
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4574
—
SC
01
—
SCA7546067
MEDICARE PIN
SC
01
—
SCA7546084
MEDICARE PIN
SC
01
—
SCA754J577
MEDICARE PIN
SC
Enumeration date
04/11/2017
Last updated
01/10/2020
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