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Individual
JUDSON CHASE WOOLLEN
Active
Individual
JUDSON CHASE WOOLLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
41051
SC
2086S0129X
Vascular Surgery Physician
Primary
92051
SC
Other
Enumeration date
06/02/2017
Last updated
08/19/2024
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