Charlie Elizabeth Wood, PA

NPI #1275053910 in Tyler, Texas

Provider Information

NPI Number: 1275053910
Entity Type: Individual
Name: Charlie Elizabeth Wood, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 23, 2017
Last Updated: May 18, 2023

Practice Location

Address: 4293 KINSEY DR
City: Tyler
State: Texas
ZIP Code: 75703-1004
Phone: (903) 592-5670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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