Provider Demographics
NPI:1568072189
Name:WOOD CARDIOTHORACIC AND VASCULAR INSTITUTE, LLC
Entity Type:Organization
Organization Name:WOOD CARDIOTHORACIC AND VASCULAR INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-279-8738
Mailing Address - Street 1:405 S 1ST ST # 405
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-5358
Mailing Address - Country:US
Mailing Address - Phone:256-279-8738
Mailing Address - Fax:256-963-9987
Practice Address - Street 1:WOOD CARDIOTHORACIC AND VASCULAR INSTITUTE, LLC
Practice Address - Street 2:303 BAY STREET, STE. 201
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5203
Practice Address - Country:US
Practice Address - Phone:256-543-5940
Practice Address - Fax:256-467-4317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty