Individual
DR. WAYNE BROWN WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
19429
NC
2085N0700X
Neuroradiology Physician
19429
NC
2085N0904X
Nuclear Radiology Physician
Primary
19429
NC
2085P0229X
Pediatric Radiology Physician
19429
NC
2085R0202X
Diagnostic Radiology Physician
19429
NC
2085R0204X
Vascular & Interventional Radiology Physician
19429
NC
2085U0001X
Diagnostic Ultrasound Physician
19429
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8989244
—
NC
Enumeration date
01/30/2006
Last updated
07/13/2026
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