Wood, Mark S

Wood, Mark S is an individual health care provider with primary practice located at 598 W 11Th Ave , Lumberton MS 39455. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Wood, Mark S can be contacted via phone (601) 796-4214.

Contact Information

Primary practice address
598 W 11Th Ave Lumberton MS 39455
Phone: (601) 796-4214
Fax: (601) 796-9437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 19048 Mississippi

Profile Details

NPI number 1770676090
LBN Legal business name Wood, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated Nov 12th, 2019 - about 6 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 1770676090 NPPES
Mississippi Other 873790 MS MEDICARE PROVIDER NUMBER
Mississippi Other 12450126 MS MEDICARE PROVIDER NUMBER

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