Wood, Mark Gregory
Wood, Mark Gregory is an sole proprietor health care provider with primary practice located at 106 Oak St , Thomasville GA 31792. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Wood, Mark Gregory can be contacted via phone (229) 228-1288.Contact Information
Primary practice address
106 Oak St
Thomasville GA 31792
Phone: (229) 228-1288
Fax: (229) 228-1322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 22668 | Georgia |
Profile Details
| NPI number | 1427152958 |
|---|---|
| LBN Legal business name | Wood, Mark Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Jan 22nd, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427152958 | NPPES |
| Georgia | MEDICAID | 000232988F |
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