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Individual

MARK D WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8262 ATLEE RD, SUITE 205, MECHANICSVILLE, VA 23116-1816
(804) 559-0194
(804) 559-0198
Mailing address
8262 ATLEE RD, SUITE 205, MECHANICSVILLE, VA 23116-1816
(804) 559-0194
(804) 559-0198

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101230746
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010098769
VA
01
C06115
GROUP PTAN
VA
Enumeration date
11/08/2005
Last updated
08/06/2014
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