# WILLIAM MATTHEW WOOTEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548604341
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 2019-00825 | NC | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | 83522 | SC | — |
| 207RI0200X | Infectious Disease Physician | 83522 | SC | Yes |

## Other

- **Enumeration date:** 04/23/2013
- **Last updated:** 09/14/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 835225 | — | SC |