Omar Wood

NPI #1659700268 in Antioch, Tennessee

Provider Information

NPI Number: 1659700268
Entity Type: Individual
Name: Omar Wood
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Nov 4, 2013
Last Updated: Nov 4, 2013

Practice Location

Address: 3401 ANDERSON RD
Address 2: UNIT 81
City: Antioch
State: Tennessee
ZIP Code: 37013-6002
Phone: (615) 557-0204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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