MEDICARE: DR. WILLIAM CHADWICK WOOD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	200101511	NC

General Provider Information

NPI Number	:	1326021460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM CHADWICK WOOD M.D.

Provider Business Mailing Address
First Line	:	1701 EDINBURGH CT
Second Line	:
City	:	WINTERVILLE
State	:	NC
Zip	:	28590-9121
Country	:	US
Telephone Number	:	252-717-4576
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 EDINBURGH CT
Second Line	:
City	:	WINTERVILLE
State	:	NC
Zip	:	28590-9121
Country	:	US
Telephone Number	:	252-717-4576
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	05/03/2023

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