MEDICARE: DR. JOHN HOWARD 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
1	207W00000X	Ophthalmology Physician	94-00175	NC

Other Identifiers

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

General Provider Information

NPI Number	:	1700834512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN HOWARD WOOD MD

Provider Business Mailing Address
First Line	:	316 WOODHAVEN RD
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27514-7512
Country	:	US
Telephone Number	:	919-942-8701
Fax Number	:	919-942-3601

Provider Business Practice Location Address
First Line	:	110 CONNER DR
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27514-7044
Country	:	US
Telephone Number	:	919-942-8701
Fax Number	:	919-942-3601

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	07/08/2007

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