Individual
BAILEY ELIZABETH WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-5648
(864) 455-7862
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
52476
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
524766
—
SC
Enumeration date
06/11/2018
Last updated
01/23/2023
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