Individual
STACEY A WOOD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1718 E 4TH ST, SUITE 707, CHARLOTTE, NC 28204-3261
(704) 316-5270
(704) 316-5271
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5270
(704) 316-5271
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31407
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8988947
—
NC
Enumeration date
08/12/2005
Last updated
10/25/2020
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