Individual
DONAH WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
65 FOREST DR, VARNVILLE, SC 29944-4886
(803) 943-4568
Mailing address
1050 RIBAUT RD, BEAUFORT, SC 29902-5400
(843) 524-8899
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
270931
SC
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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