Individual
CHARLES WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4020 N ROXBORO ST, DURHAM, NC 27704-2120
(919) 620-5333
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(919) 620-4918
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2012-00793
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2009
Last updated
12/21/2016
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