Wood, Mark Lyndon
Wood, Mark Lyndon is an individual health care provider with primary practice located at 3009 New Bern Ave , Raleigh NC 27610. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Wood, Mark Lyndon can be contacted via phone (919) 232-5020.Contact Information
Primary practice address
3009 New Bern Ave
Raleigh NC 27610
Phone: (919) 232-5020
Fax: (919) 232-5021
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 200001448 | North Carolina |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 200001448 | North Carolina |
Profile Details
NPI number | 1134172372 |
---|---|
LBN Legal business name | Wood, Mark Lyndon |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 18th, 2006 |
Last updated | May 14th, 2024 - about last year |
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 | 1134172372 | NPPES |
North Carolina | MEDICAID | 891371CJ |
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