Wood, Judy W

Wood, Judy W is an individual health care provider with primary practice located at 600 Moye Blvd Pediatric Outpatient Center, Greenville NC 27834-4300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wood, Judy W can be contacted via phone (252) 744-2335.

Contact Information

Primary practice address
600 Moye Blvd Pediatric Outpatient Center Greenville NC 27834-4300
Fax: (252) 744-3811
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 200401452 North Carolina

Profile Details

NPI number 1003899717
LBN Legal business name Wood, Judy W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Apr 7th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003899717 NPPES
North Carolina MEDICAID 5900286
North Carolina Other 136PA

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