Provider Demographics
NPI:1538366190
Name:WOOD, NANCY OPPENHEIMER (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:OPPENHEIMER
Last Name:WOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 PROVIDENCE PARK DR E STE 201
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-4615
Mailing Address - Country:US
Mailing Address - Phone:251-639-1300
Mailing Address - Fax:
Practice Address - Street 1:610 PROVIDENCE PARK DR E STE 201
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-4615
Practice Address - Country:US
Practice Address - Phone:251-639-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002437208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics