Individual
BRIAN S. WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3633 HARDEN RD, SUITE 102, RALEIGH, NC 27607-3369
(919) 788-8797
(919) 788-8798
Mailing address
3633 HARDEN RD, SUITE 102, RALEIGH, NC 27607-3369
(919) 788-8797
(919) 788-8798
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01292
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-01292
LICENSE NUMBER
NC
Enumeration date
03/11/2008
Last updated
06/18/2008
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