Provider Demographics
NPI:1700158458
Name:WOOD, SPENCER MICHAEL (MS, CGC)
Entity Type:Individual
Prefix:MR
First Name:SPENCER
Middle Name:MICHAEL
Last Name:WOOD
Suffix:
Gender:M
Credentials:MS, CGC
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1300 HOSPITAL DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-8451
Mailing Address - Country:US
Mailing Address - Phone:540-741-1995
Mailing Address - Fax:540-741-3261
Practice Address - Street 1:1300 HOSPITAL DR
Practice Address - Street 2:SUITE 200
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-8451
Practice Address - Country:US
Practice Address - Phone:540-741-1995
Practice Address - Fax:540-741-3261
Is Sole Proprietor?:No
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS