Provider Demographics
NPI:1245428358
Name:WOOD, JEYHAN S (MD)
Entity Type:Individual
Prefix:
First Name:JEYHAN
Middle Name:S
Last Name:WOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7033 BURNETT WOMACK BLDG CB 7195
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-843-1088
Mailing Address - Fax:919-966-3814
Practice Address - Street 1:7033 BURNETT WOMACK BLDG CB 7195
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-843-1088
Practice Address - Fax:919-966-3814
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2013-003182086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery