Individual
OMAR WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 ANDERSON RD, UNIT 81, ANTIOCH, TN 37013-6002
(615) 557-0204
Mailing address
3401 ANDERSON RD, UNIT 81, ANTIOCH, TN 37013-6002
(615) 557-0204
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01-291
TN
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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