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General NPI Number Information
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NPI Number | 1922748474
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Entity Type | Individual
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Provider Name | WALTER GRIFFIN WOOD PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/31/2022
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 301 TYSON AVE
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City | PARIS
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State | TN
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Zip | 38242-4544
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Country | US
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Telephone | 731-642-1220
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Fax |
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Provider Business Mailing Address
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Address Line | 228 NANCE CIR
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City | PARIS
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State | TN
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Zip | 38242-5698
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Country | US
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Telephone | 731-336-9836
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5070
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | TC151
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License Number State | KY
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