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Contact Information

MARK S WOOD, MD
598 W 11TH AVE
LUMBERTON, MS39455
 Phone: 601-796-4214
 Fax: 601-796-9437
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for MARK S WOOD · (Male)

NPI # 1770676090
Status Active
Credentials MD
Entity Individual
Enumeration date 09/30/2006
Last updated 11/12/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 19048
  • MS Other 12450126 CAQH NUMBER
  • MS Other 873790 MS MEDICARE PROVIDER NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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