Charles E. Wood PA-C
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Charles E Wood PA-C
NPI Number
1235193400
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/14/2006
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA2616
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 746654
1301 PALM AVE STE 600
City
Atlanta
Jacksonville
State
GA
FL
Postal Code
30374-6654
32207-8432
Country
US
US
Telephone Number
(904) 202-2092
(904) 202-7300
Identifiers
Identifier
290017300
970009795
P00088264
Identifier State
FL
Unknown
Unknown
Identifier Issuer
Unknown
RAILROAD MEDICARE
RAILROAD MEDICARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/26/2024