Dr. Jonathan Stephen Wood
MD | Pediatrics | Male
Dr. Jonathan Stephen Wood, MD is a Lilburn, Georgia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Jonathan Stephen Wood is
4120 Five Forks Trickum Rd Sw Ste 102, Lilburn, Georgia - 30047-8975. He can be contacted on phone at
770-923-6400.
Dr. Jonathan Stephen Wood is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jonathan Stephen Wood is
1699055236 which was assigned by NPPES on 26 Aug, 2011 and it was last updated on 31 May, 2023.
Dr. Jonathan Stephen Wood license number is
76998 for Pediatrics (208000000X) in Georgia.
Dr. Jonathan Stephen Wood is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Jonathan Stephen Wood basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Jonathan Stephen Wood |
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| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Jonathan Stephen Wood address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4120 Five Forks Trickum Rd Sw Ste 102
Lilburn, GA, 30047-8975
United States |
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| Phone Number : | 770-923-6400 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1699055236 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Aug, 2011 |
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| Last Updated On : | 31 May, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jonathan Stephen Wood are as mentioned. Primary taxonomy code for Dr. Jonathan Stephen Wood, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 76998 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jonathan Stephen Wood such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 003172167 | MEDICAID | GA | |
| 003172167H | MEDICAID | GA | |
| 003172167I | MEDICAID | GA | |
| 003172167J | MEDICAID | GA | |
| 003172167K | MEDICAID | GA | |
| 003172167L | MEDICAID | GA | |
| 003172167M | MEDICAID | GA | |
| 003172167N | MEDICAID | GA | |
| 06047829 | Other (non-Medicare) | GA | Amerigroup |
| 1707074 | Other (non-Medicare) | GA | Wellcare |
| 76998 | Other (non-Medicare) | GA | Georgia Medical License |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4120 Five Forks Trickum Rd Sw Ste 102
Lilburn, GA, 30047-8975
United States |
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| Phone Number : | 770-923-6400 |
|---|
| Fax Number : | 770-676-9876 |
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Business Location:
Patients can refer following map for directions to
Dr. Jonathan Stephen Wood practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.