Provider Demographics
NPI:1003225632
Name:WOOD, ANNALEA K (DC)
Entity Type:Individual
Prefix:DR
First Name:ANNALEA
Middle Name:K
Last Name:WOOD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 N LAMAR BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-2864
Mailing Address - Country:US
Mailing Address - Phone:662-638-3184
Mailing Address - Fax:
Practice Address - Street 1:1007 N LAMAR BLVD
Practice Address - Street 2:STE 2
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-2864
Practice Address - Country:US
Practice Address - Phone:662-638-3184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1270111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor