Wood, Angela S

Wood, Angela S is an individual health care provider with primary practice located at 1105 Burleyson Rd , Dalton GA 30720-3181. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Wood, Angela S can be contacted via phone (706) 278-4640.

Contact Information

Primary practice address
1105 Burleyson Rd Dalton GA 30720-3181
Fax: (706) 275-6599
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2005-01530 North Carolina

Profile Details

NPI number 1134305204
LBN Legal business name Wood, Angela S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2008
Last updated Oct 13th, 2011 - about 13 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 1134305204 NPPES
North Carolina Other 2005-01530 STATE LICENSE

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