Provider Demographics
NPI:1699718981
Name:WOOD, ARTHUR E III (MD)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:E
Last Name:WOOD
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:920 MATTHEW DRIVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:WAYNESBORO
Mailing Address - State:MS
Mailing Address - Zip Code:39367
Mailing Address - Country:US
Mailing Address - Phone:601-735-3918
Mailing Address - Fax:601-735-4227
Practice Address - Street 1:920 MATTHEW DRIVE
Practice Address - Street 2:SUITE D
Practice Address - City:WAYNESBORO
Practice Address - State:MS
Practice Address - Zip Code:39367
Practice Address - Country:US
Practice Address - Phone:601-735-3918
Practice Address - Fax:601-735-4227
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2009-12-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS09207208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00018806Medicaid
AL548509002OtherAL MEDICAID
AL548509002OtherAL MEDICAID
MS00018806Medicaid