Provider Demographics
NPI:1609132554
Name:WOOD, ELIZABETH HE (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:HE
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 1:910 MADISON AVENUE SUITE 310
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38163-3328
Mailing Address - Country:US
Mailing Address - Phone:901-448-3472
Mailing Address - Fax:
Practice Address - Street 1:910 MADISON AVENUE SUITE 310
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38163-3328
Practice Address - Country:US
Practice Address - Phone:901-448-3472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-04
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN62118208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery