Organization
EDNA P WOOD SOMETHING SPECIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDNA P WOOD CERTIFIED FITTER (SOLE PROPRIETOR OWNER)
(434) 296-5454
Entity
Organization
Contact information
Practice address
415 LEXINGTON AVENUE, CHARLOTTESVILLE, VA 22902-4711
(434) 296-5454
(434) 296-5454
Mailing address
415 LEXINGTON AVENUE, CHARLOTTESVILLE, VA 22902-4711
(434) 296-5454
(434) 296-5454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009197753
FIRST HEALTH SERV CORP
VA
05
—
010208114
—
VA
01
—
223603
ANTHEM
VA
01
—
246026
SOUTHERN HEALTH
VA
Enumeration date
11/02/2006
Last updated
05/19/2010
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