Individual
DR. CANDRA K WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
224 S 10TH AVE, SILER CITY, NC 27344-2779
(919) 663-1744
Mailing address
224 S 10TH AVE, SILER CITY, NC 27344-2779
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0069848
MD
390200000X
Student in an Organized Health Care Education/Training Program
TRN10158
FL
Other
Enumeration date
06/01/2007
Last updated
09/23/2013
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