Individual
MRS. ANTOINETTE WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 LAKEVIEW COVE DR, GRAYSON, GA 30017-7916
(404) 775-8044
(404) 759-2550
Mailing address
1233 LAKEVIEW COVE DR, GRAYSON, GA 30017-7916
(404) 775-8044
(404) 759-2550
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0030054335
GA
Other
Enumeration date
08/04/2021
Last updated
12/01/2021
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