Provider Demographics
NPI:1811755457
Name:WILSON & WOOD LLC
Entity type:Organization
Organization Name:WILSON & WOOD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:B
Authorized Official - Last Name:DOVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-884-1214
Mailing Address - Street 1:105 THE RED BIRD WAY
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640-3890
Mailing Address - Country:US
Mailing Address - Phone:864-884-1214
Mailing Address - Fax:864-442-5288
Practice Address - Street 1:105 THE RED BIRD WAY
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-3890
Practice Address - Country:US
Practice Address - Phone:864-884-1214
Practice Address - Fax:864-442-5288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance