Wood, Brennan P
Wood, Brennan P is an individual health care provider with primary practice located at 2406 Lighthouse Manor Dr , Gainesville GA 30501-7401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Wood, Brennan P can be contacted via phone (770) 536-4352.Contact Information
Primary practice address
2406 Lighthouse Manor Dr
Gainesville GA 30501-7401
Phone: (770) 536-4352
Fax: (770) 532-8165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 050071 | Georgia |
Profile Details
| NPI number | 1083615611 |
|---|---|
| LBN Legal business name | Wood, Brennan P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2005 |
| Last updated | Nov 20th, 2008 - 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 | 1083615611 | NPPES |
| Georgia | MEDICAID | 128458220A |
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