Individual
DR. VANCE T WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
462 MEMORY LN, SUITE 110, DAWSONVILLE, GA 30534-4314
(706) 265-1357
(706) 265-1406
Mailing address
462 MEMORY LN, SUITE 110, DAWSONVILLE, GA 30534-4314
(706) 265-1357
(706) 265-1406
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3014
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307689258A
—
GA
Enumeration date
09/22/2009
Last updated
09/22/2009
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