JENNIFER GWEN WOOD PA-C NPI 1235302753

NPI Information

NPI: 1235302753
Provider Name: JENNIFER GWEN WOOD, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
240 SHERATON BLVD
MACON, GA
ZIP 31210
Phone: (478) 471-1943
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Jennifer Gwen Wood, PA-C is a medical physician assistant in Macon, GA. Jennifer Gwen Wood, PA-C NPI is 1235302753. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

240 SHERATON BLVD
MACON, GA
ZIP 31210-358
Phone: (478) 471-1943
Fax: (478) 475-9780

The enumeration date for this NPI number is 4/4/2008 and was last updated on 2/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	005329	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	322789982B	MEDICAID	GEORGIA
2	202I285167	MEDICARE PIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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