Organization
J&A WOOD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L. WOOD M.D. (OWNER)
(478) 932-8155
Entity
Organization
Contact information
Practice address
2724 GREY FOX CT, HADDOCK, GA 31033-6009
(478) 457-2323
(478) 457-2320
Mailing address
2724 GREY FOX CT, HADDOCK, GA 31033-6009
(478) 932-8155
(478) 932-8155
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
059239
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396764429
IND NPI
SC
Enumeration date
03/10/2011
Last updated
08/09/2011
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