Individual
DR. NATHAN ASHLEY WOOLWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
433 COPPERFIELD BLVD NE, CONCORD, NC 28025-2405
(704) 786-7770
(704) 971-0035
Mailing address
3158 FREEDOM DR STE 3102, CHARLOTTE, NC 28208-0014
(704) 971-7099
(704) 971-0035
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
200400782
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1398R
BCBS PROVIDER
NC
01
—
4504731
CIGNA HEALTHCARE
NC
05
—
5902823
—
NC
01
—
7222609
AETNA PROVIDER
NC
01
—
805293
PARTNERS MEDICARE
NC
01
—
E3298
MEDCOST PROVIDER
NC
01
—
P00194087
RR MCARE
NC
Enumeration date
07/05/2005
Last updated
04/30/2025
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