Mark S Wood in Lumberton - General Practice

Mark S Wood - NPI 1770676090

Mark S Wood is a General Practice in Lumberton, Mississippi. Mark S Wood practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark S Wood is 1770676090. The last update date is 2019-11-12.

Mark S Wood's current location address is 598 W 11th Ave, Lumberton, Mississippi. You can contact this provider via phone number 6017964214 and fax number 6017969437. The mailing address for Mark S Wood is 598 W 11th Ave, Lumberton, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark S Wood
Address 598 W 11th Ave, Lumberton, Mississippi
Phone Number 6017964214
Fax Number 6017969437
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1770676090
Provider Enumeration Date 2006-09-30
Last Updated Date 2019-11-12

Provider Mailing Address Detail

Address 598 W 11th Ave
City Lumberton
State Mississippi (MS)
Post Code 39455
Phone Number 6017964214
Fax Number 6017969437

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 19048
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
873790 MS MS MEDICARE PROVIDER NUMBER
12450126 MS CAQH NUMBER

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FAQs about Mark S Wood

What is the Mark S Wood's unique identification number?

The Mark S Wood has been assigned the NPI (National Provider Identifier) Number 1770676090 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Mark S Wood is physically located?

The Mark S Wood is situated at the following address: 598 W 11Th Ave, Lumberton, MS 39455.

What is the Mark S Wood's area of specialization and corresponding taxonomy classification?

The Mark S Wood's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.

When did Mark S Wood receive its 1770676090 assignment?

The Mark S Wood was assigned its 1770676090 on 2006-09-30, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Mark S Wood most recently updated or revised?

The information pertaining to Mark S Wood, including its address, specialty, and other relevant details, was last updated or revised on 2019-11-12.

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