Individual
HANNAH WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 N FIFTH ST, GLENWOOD, GA 30428-3701
(731) 394-1145
Mailing address
13 FIELD RD, GLENWOOD, GA 30428-4662
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN252939
GA
Other
Enumeration date
09/05/2024
Last updated
01/03/2025
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