Provider Demographics
NPI:1780871038
Name:WOOD, JAMES H (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:WOOD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3903 SOUTH COBB DRIVE SE
Mailing Address - Street 2:SUITE 235
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-6342
Mailing Address - Country:US
Mailing Address - Phone:770-431-8007
Mailing Address - Fax:770-431-8010
Practice Address - Street 1:3903 SOUTH COBB DRIVE SE
Practice Address - Street 2:SUITE 235
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-6342
Practice Address - Country:US
Practice Address - Phone:770-431-8007
Practice Address - Fax:770-431-8010
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2008-07-31
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Provider Licenses
StateLicense IDTaxonomies
GA022916207T00000X
MDD0015644207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00222769CMedicaid
GAD41427Medicare UPIN