| Isaac Keith Wood | |
|
9020 Stony Point Pkwy Ste 365 Richmond VA 23235-1947 | |
| (804) 763-9863 | |
| (804) 237-0980 |
| Full Name | Isaac Keith Wood |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9020 Stony Point Pkwy Ste 365, Richmond, Virginia |
| Authorized Official Name and Position | Isaac Keith Wood (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8043078964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Isaac Keith Wood 9020 Stony Point Pkwy Ste 365 Richmond VA 23235-1947 Ph: (804) 763-9863 | Isaac Keith Wood 9020 Stony Point Pkwy Ste 365 Richmond VA 23235-1947 Ph: (804) 763-9863 |
| NPI Number | 1912540576 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 10/25/2019 |
| Medicare PECOS PAC ID | 3173945151 |
|---|---|
| Medicare Enrollment ID | O20200619001836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912540576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Isaac K Wood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902987910 PECOS PAC ID: 1456484849 Enrollment ID: I20100805000701 |
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