Provider Demographics
NPI:1265424329
Name:WOOD, SCOTT A (DC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:A
Last Name:WOOD
Suffix:
Gender:M
Credentials:DC
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 1201
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-1201
Mailing Address - Country:US
Mailing Address - Phone:205-631-9899
Mailing Address - Fax:205-631-9898
Practice Address - Street 1:313 FIELDSTOWN RD
Practice Address - Street 2:SUITE 105
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-2411
Practice Address - Country:US
Practice Address - Phone:205-631-9899
Practice Address - Fax:205-631-9898
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL 2019111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor