Organization Name: | DR NORMAN E WOOD JR PA |
NPI Number: | 1083938278 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSIE THRASHER (OFFICE MANAGER) |
Mailing Address: | Hc 61 Box 306 Capon Bridge |
State: | WV US |
Postal Code: | 267119728 |
Phone Number: | 3048562600 |
Fax Number: | 3048562604 |
NPI Enumeration Date: | 03/17/2010 |
NPI Last Update Date: | 03/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 1680 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |