Individual
JAMES L WOOTTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 MAIN ST, FAYETTE, MS 39069-5576
(601) 786-3475
(601) 786-6320
Mailing address
405 MAIN ST, FAYETTE, MS 39069-5576
(601) 786-3475
(601) 786-6320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25172
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05039502
—
MS
Enumeration date
05/16/2008
Last updated
10/01/2025
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