Provider Demographics
NPI:1730389230
Name:HOWELL, AMY WOOD (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:WOOD
Last Name:HOWELL
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 1:2609 WEST ARLINGTON BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-3796
Mailing Address - Country:US
Mailing Address - Phone:252-689-6303
Mailing Address - Fax:252-689-6304
Practice Address - Street 1:2609 WEST ARLINGTON BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-3796
Practice Address - Country:US
Practice Address - Phone:252-689-6303
Practice Address - Fax:252-689-6304
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-00916208000000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC59-11862Medicaid