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NPI Code Detail

MEDICARE: NAOMI WOOD

MEDICARE:   NAOMI  WOOD
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
11041C0700XClinical Social WorkerCSW005929GA

General Provider Information

NPI Number : 1205505112
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAOMI WOOD
Provider Business Mailing Address
First Line : WINN ARMY COMMUNITY HOSPITAL
Second Line : 1061 HARMON AVE
City : FORT STEWAR
State : GA
Zip : 31314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : WINN ARMY COMMUNITY HOSPITAL
Second Line : 1061 HARMON AVE
City : FORT STEWAR
State : GA
Zip : 31314
Country : US
Telephone Number : 912-439-6933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2021
Last Update Date : 09/13/2021

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Directions to “ NAOMI WOOD ” Practice Location

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