Individual
THOMAS WOOTEN OLIVER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
503 EISENHOWER DR, SAVANNAH, GA 31406-2668
(912) 355-6255
Mailing address
1140 SAINT ANDREWS DR, MACON, GA 31210-4776
(912) 355-6255
(912) 355-6256
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21772
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000298636V
—
GA
Enumeration date
10/24/2005
Last updated
02/13/2026
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