Provider Demographics
NPI:1730141672
Name:WOOD, FRANK HENDERSON II (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:HENDERSON
Last Name:WOOD
Suffix:II
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:PO BOX 369
Mailing Address - Street 2:
Mailing Address - City:COPPERHILL
Mailing Address - State:TN
Mailing Address - Zip Code:37317
Mailing Address - Country:US
Mailing Address - Phone:706-492-3241
Mailing Address - Fax:706-592-7612
Practice Address - Street 1:1000 BLUE RIDGE DRIVE
Practice Address - Street 2:
Practice Address - City:MCCAYSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30555
Practice Address - Country:US
Practice Address - Phone:706-492-3241
Practice Address - Fax:706-492-7612
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA28672207Q00000X
TN15044207Q00000X
NC31220207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00284578AMedicaid
A97105Medicare UPIN
GA00284578AMedicaid