Healthcare Provider Details

I. General information

NPI: 1265424329
Provider Name (Legal Business Name): SCOTT A WOOD D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 1ST ST NE
CULLMAN AL
35055-3504
US

IV. Provider business mailing address

401 1ST ST NE
CULLMAN AL
35055-3504
US

V. Phone/Fax

Practice location:
  • Phone: 256-734-4357
  • Fax: 256-841-5665
Mailing address:
  • Phone: 256-734-4357
  • Fax: 256-841-5665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberAL 2019
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: