Individual
THOMAS D WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 DOUGHTY ST, STE 420, CHARLESTON, SC 29403
(843) 723-3441
(843) 805-4040
Mailing address
PO BOX 22206, CHARLESTON, SC 29413-2206
(843) 723-3441
(843) 805-4040
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
08811
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088112
—
SC
Enumeration date
05/27/2006
Last updated
10/03/2007
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