Individual
CHARLES ERIC WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
805 PAMPLICO HWY STE A315, FLORENCE, SC 29505-6056
(843) 674-6460
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
29781
SC
2085R0001X
Radiation Oncology Physician
R2676
KY
Other
Enumeration date
04/15/2011
Last updated
03/05/2021
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