NPI 1083349534

Tisha J Wood

Practitioner Driver Roanoke Rapids, NC

Practice location

Address: 61 Madison St, Roanoke Rapids, NC 27870-1854
Phone: (125) 232-6577

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 000038608717 (NC)

Other Driver providers in North Carolina →

Registry record

NPI: 1083349534
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2022
Record last updated: 19 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.