Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 4301095934 | MI |
Y | 207RI0011X | Interventional Cardiology | 181548 | NC |
N | 207U00000X | Nuclear Medicine Specialist | 2012-01070 | MI |
NPI | 1083814149 |
---|---|
Provider Name | Frances Oliver Wood |
First Address | Raleigh, NC 27604-0010 |
Second Address | Raleigh, NC 27610-1231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2007 |
Last Update Date | 15/04/2021 |