Individual
B. DAVID WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1915 WHITE AVE, KNOXVILLE, TN 37916-2300
(865) 541-1720
(865) 541-1747
Mailing address
1915 WHITE AVE, KNOXVILLE, TN 37916-2300
(865) 541-1720
(865) 541-1747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14292
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110098561
RR MEDICARE PIN
TN
05
—
3013533
—
TN
05
—
Q019096
—
TN
Enumeration date
06/19/2006
Last updated
08/24/2020
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