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NPI Code Detail

MEDICARE: DR. TYRONE KEITH WOOD MD

MEDICARE: DR. TYRONE KEITH WOOD MD
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
1174400000XSpecialist10691SC
2207L00000XAnesthesiology Physician8903SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770575839
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TYRONE KEITH WOOD MD
Provider Business Mailing Address
First Line : 9263 MEDICAL PLAZA DR
Second Line : STE E
City : CHARLESTON
State : SC
Zip : 29406-7112
Country : US
Telephone Number : 843-572-1228
Fax Number : 843-576-6168
Provider Business Practice Location Address
First Line : 9263 MEDICAL PLAZA DR
Second Line : STE E
City : CHARLESTON
State : SC
Zip : 29406-7112
Country : US
Telephone Number : 843-572-1228
Fax Number : 843-576-6168
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 11/02/2016

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Directions to “ DR. TYRONE KEITH WOOD MD” Practice Location

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