Wood, Janice C

Wood, Janice C is an individual health care provider with primary practice located at 6025 Walnut Grove Rd Ste 201, Memphis TN 38120-2131. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Wood, Janice C can be contacted via phone (901) 685-6066.

Contact Information

Primary practice address
6025 Walnut Grove Rd Ste 201 Memphis TN 38120-2131
Phone: (901) 685-6066
Fax: (901) 683-7761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 16635 Tennessee

Profile Details

NPI number 1215900113
LBN Legal business name Wood, Janice C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jan 25th, 2016 - about 8 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 1215900113 NPPES
Tennessee MEDICAID 3030473

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