person
Dr. Mark S Wood, MD
General Practice Physician in Lumberton, Mississippi
NPI 1770676090

Mark S Wood is a General Practice Physician based in Hattiesburg, MS. Mark S Wood practices in Lumberton, MS and has the professional credentials of MD. The NPI Number for Mark S Wood is 1770676090 and holds a License No. 19048 (Mississippi).

The current practice location address for Mark S Wood is 598 W 11Th Ave, Lumberton, MS and can be reached out via phone at 601-796-4214 and via fax at 601-796-9437.

Location: 598 W 11Th Ave, Lumberton, MS, 39403-1729
person
Provider Profile Details
NPI Number
1770676090
Provider Name
Mark S Wood
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
598 W 11Th Ave, Lumberton, MS, 39403-1729
Phone Number
601-796-4214
Fax Number
601-796-9437
Provider Enumeration Date
09/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
873790 01 MS MS MEDICARE PROVIDER NUMBER
12450126 01 MS CAQH NUMBER
institution
Provider Business Practice Location Address Details
Address
598 W 11Th Ave
City
State
Zip
39455
Phone Number
601-796-4214
Fax Number
601-796-9437
person
Provider Business Mailing Address Details
Address
598 W 11Th Ave
City
State
Zip
39455
Phone Number
601-796-4214
Fax Number
601-796-9437
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
19048 (Mississippi)
Definition
Definition to come...
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