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:
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Health care specialties

SpecialtyCodeLicense #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 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 1235302753 NPPES
Georgia MEDICAID 322789982B

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