Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1270 | MS |
NPI | 1003225632 |
---|---|
Provider Name | Dr. Annalea K Wood |
First Address | Oxford, MS 38655-2864 |
Second Address | Oxford, MS 38655-2864 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2014 |
Last Update Date | 26/07/2017 |