Healthcare Provider Details

I. General information

NPI: 1447472196
Provider Name (Legal Business Name): JAMES HUNTER WOOD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 06/25/2020
Certification Date: 06/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 CONSTANTIN BLVD STE 220
BATON ROUGE LA
70809-3481
US

IV. Provider business mailing address

8200 CONSTANTIN BLVD STE 220
BATON ROUGE LA
70809-3481
US

V. Phone/Fax

Practice location:
  • Phone: 225-769-2295
  • Fax:
Mailing address:
  • Phone: 225-769-2295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberP4835
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberMD.206725
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: