Wood, Vance T
Wood, Vance T is an individual health care provider with primary practice located at 462 Memory Ln Suite 110, Dawsonville GA 30534-4314. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wood, Vance T can be contacted via phone (706) 265-1357.Contact Information
Primary practice address
462 Memory Ln Suite 110
Dawsonville GA 30534-4314
Phone: (706) 265-1357
Fax: (706) 265-1406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3014 | Georgia |
Profile Details
| NPI number | 1689908873 |
|---|---|
| LBN Legal business name | Wood, Vance T |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2009 |
| Last updated | Sep 22nd, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689908873 | NPPES |
| Georgia | MEDICAID | 307689258A |
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