Individual
DR. WILLIAM ISLER WOOTEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2150 HERBERT CT, GREENVILLE, NC 27834-3736
(252) 744-5437
(252) 744-1514
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2009-00745
NC
2080P0214X
Pediatric Pulmonology Physician
Primary
2009-00745
NC
390200000X
Student in an Organized Health Care Education/Training Program
2009-00745
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171GG
BCBSNC
NC
05
—
5920695
—
NC
Enumeration date
06/23/2008
Last updated
03/12/2024
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