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Individual

ADA WILLIAMS-WOOTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
101 CLINIC DR, TARBORO, NC 27886-1935
(252) 823-2105
Mailing address
101 CLINIC DR, TARBORO, NC 27886-1935
(252) 823-2105

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39714
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1252274
UNITED HEALTHCARE
NC
01
37762
MEDCOST
NC
01
87705
BCBS
NC
05
8987705
NC
Enumeration date
01/23/2006
Last updated
01/12/2022
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