Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 33076 | SC |
NPI | 1336234046 |
---|---|
Provider Name | Arthur Paul Wood |
First Address | Greenville, SC 29615-4536 |
Second Address | Greenville, SC 29611-7557 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 18/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
N30115 | (05) | SC |