Wood, Tyrone Keith

Wood, Tyrone Keith is an individual health care provider with primary practice located at 9263 Medical Plaza Dr Ste E, Charleston SC 29406-7112. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Wood, Tyrone Keith can be contacted via phone (843) 572-1228.

Contact Information

Primary practice address
9263 Medical Plaza Dr Ste E Charleston SC 29406-7112
Phone: (843) 572-1228
Fax: (843) 576-6168
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 10691 South Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 8903 South Carolina

Profile Details

NPI number 1770575839
LBN Legal business name Wood, Tyrone Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Nov 2nd, 2016 - about 8 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 1770575839 NPPES
South Carolina MEDICAID 089031

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