Individual
CHARLES G WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4950 ESSEN LANE, BATON ROUGE, LA 70809-3482
(225) 767-0847
(225) 766-1417
Mailing address
4950 ESSEN LANE, BATON ROUGE, LA 70809-3482
(225) 767-0847
(225) 766-1417
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD.201591
LA
2085R0001X
Radiation Oncology Physician
MT182043
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019551
—
LA
Enumeration date
12/28/2006
Last updated
04/06/2017
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