Individual
DR. CHARLES STEPHEN WOOLUMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1735 27TH ST STE 308, PORTSMOUTH, OH 45662-2679
(740) 356-4876
(740) 356-6703
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
25534
WV
208800000X
Urology Physician
34122
KY
208800000X
Urology Physician
Primary
35.133749
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091070
—
OH
05
—
3810026619
—
WV
05
—
64049018
—
KY
Enumeration date
07/05/2005
Last updated
08/22/2022
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