Individual
MRS. TONIA MICHELE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3041 OLD EASTOVER RD, EASTOVER, SC 29044-8303
(803) 353-8741
(803) 353-8789
Mailing address
PO BOX 3788, COLUMBIA, SC 29230-3788
(803) 733-5969
(803) 753-5591
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
237664
NC
363LF0000X
Family Nurse Practitioner
Primary
21692
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
21692
SC
Other
Enumeration date
02/06/2018
Last updated
08/26/2021
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