| Doctor Name: | MR. ERIC R WOOD |
| NPI Number: | 1013940956 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA1045 |
| Business Practice Address: | 580 S Loop Rd Suite 201 Edgewood, KY - 410173415 |
| Business Phone Number: | 8593441600 |
| Business Fax Number: | 8593440091 |
| Mailing Address: | 2300 Chamber Center Dr, Suite 200 LAKESIDE PARK |
| State: | KY |
| Postal Code: | 410171673 |
| Phone Number: | 8593445555 |
| Fax Number: | 8593445552 |
| NPI Enumeration Date: | 07/07/2006 |
| NPI Last Update Date: | 07/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA1045 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |