Individual
DR. CLAUDE D WOOLLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 BOILING SPRINGS RD, NORTH GROVE MEDICAL PARK SUITE 2300, SPARTANBURG, SC 29303-2244
(864) 585-6491
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
16165
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161657
—
SC
01
—
197526
MEDCOST
SC
01
—
5670134
AETNA
SC
05
—
890580L
—
NC
01
—
G005647628
MEDICARE PIN
SC
Enumeration date
02/22/2006
Last updated
01/20/2021
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