Individual
CHARLOTTE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 J L WHITE DR STE 160, JASPER, GA 30143-4895
(706) 692-4384
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12375
GA
Other
Enumeration date
04/25/2024
Last updated
06/06/2024
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