Individual
CHARLES A WOOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
Mailing address
300 W 27TH ST, ATTN: WILLIAM J GUTEKUNST, LUMBERTON, NC 28358-3075
(910) 671-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
108129
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051631
—
NC
Enumeration date
07/12/2005
Last updated
07/18/2014
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