Wood-Katz, Melissa A
Wood-Katz, Melissa A is an individual health care provider with primary practice located at 7000 Wellness Way Ste 7230 , St Simons Island GA 31522-2286. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wood-Katz, Melissa A can be contacted via phone (912) 634-2795.Contact Information
Primary practice address
7000 Wellness Way Ste 7230
St Simons Island GA 31522-2286
Phone: (912) 634-2795
Fax: (912) 638-5636
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 074624 | Georgia |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E-6154 | Arkansas |
Profile Details
NPI number | 1023040581 |
---|---|
LBN Legal business name | Wood-Katz, Melissa A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2006 |
Last updated | Sep 30th, 2021 - about 3 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 | 1023040581 | NPPES |
Georgia | MEDICAID | 333473715B |
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