Basic Information
| Provider Information | |||||||||
| NPI: | 1154563583 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | WOOD | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | A | ||||||||
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| Mailing Information | |||||||||
| Address1: | EMORY HEALTHCARE 531 ASBURY CIRCLE ANX | ||||||||
| Address2: | SUITE N340 | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303221059 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4047275658 | ||||||||
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| Practice Location | |||||||||
| Address1: | 531 ASBURY CIRCLE - ANNEX | ||||||||
| Address2: | SUITE N340 EMORY HEALTHCARE | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303221059 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4047275658 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/31/2009 | ||||||||
| LastUpdateDate: | 07/11/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 067839 | GA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.