Vance T. Wood, Psyd, Pc

NPI 1124167952 - Psychologist - 103TC0700X

NPI Details
NPI 1124167952
Enumeration Date 02/06/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VANCE T VANCE
Position PRESIDENT-PSYCHOLOGIST
Phone (706) 265-1357
Fax (706) 265-1406
Practice Location
462 MEMORY LN
SUITE 110
DAWSONVILLE GA, 30534-4314, US
Phone (706) 265-1357
Fax (706) 265-1406
Business Location
462 MEMORY LN
SUITE 110
DAWSONVILLE GA, 30534-4314, US
Phone (706) 265-1357
Fax (706) 265-1406
Toxanomy
Taxonomy Code 103TC0700X
License State Georgia
License Number 3014
Remove 1124167952 NPI Number
 

According to our database, Vance T. Wood, Psyd, Pc NPI is 1124167952, taxonomy code is 103TC0700X and license number is 3014, license state is located at Georgia. Vance T. Wood, Psyd, Pc physically located at 462 Memory Ln, Dawsonville GA, 30534-4314. NPI Number 1033115704 has the healthcare provider type.

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1124167952 NPI number is provided on an as is basis without warranty of any kind. 1124167952 is maintained by the National Plan & Provider Enumeration System. The contents of Vance T. Wood, Psyd, Pc are for informational purposes only.