Wood, Jennifer Gwen
Wood, Jennifer Gwen is an individual health care provider with primary practice located at 240 Sheraton Blvd , Macon GA 31210-1358. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wood, Jennifer Gwen can be contacted via phone (478) 471-1943.Contact Information
Primary practice address
240 Sheraton Blvd
Macon GA 31210-1358
Phone: (478) 471-1943
Fax: (478) 475-9780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 005329 | Georgia |
Profile Details
| NPI number | 1235302753 |
|---|---|
| LBN Legal business name | Wood, Jennifer Gwen |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2008 |
| Last updated | Feb 9th, 2011 - about 14 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 | 1235302753 | NPPES |
| Georgia | MEDICAID | 322789982B |
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