Provider Demographics
NPI:1326021460
Name:WOOD, WILLIAM CHADWICK (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CHADWICK
Last Name:WOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 EDINBURGH CT
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-9121
Mailing Address - Country:US
Mailing Address - Phone:252-717-4576
Mailing Address - Fax:
Practice Address - Street 1:1701 EDINBURGH CT
Practice Address - Street 2:
Practice Address - City:WINTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28590-9121
Practice Address - Country:US
Practice Address - Phone:252-717-4576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200101511207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC137FJOtherBCBS NC
NCP00165354OtherRAILROAD MEDICARE
NC89137FJMedicaid
NCP00165354OtherRAILROAD MEDICARE
NC89137FJMedicaid