Individual
DR. JULIE ANN WOOD
Active
Individual
DR. JULIE ANN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01072786A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000823738
ANTHEM
IN
01
—
01072786A
LICENSE
IN
01
—
12563309
CAQH
IN
05
—
201167500
—
IN
01
—
MD0000049514
LICENSE
TN
Enumeration date
04/21/2010
Last updated
06/23/2014
Update your record
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