Individual
MRS. CANDACE RENEE WOOTEN-REED
Active
Individual
MRS. CANDACE RENEE WOOTEN-REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0010-03360
NC
363AM0700X
Medical Physician Assistant
Primary
007386
GA
363AM0700X
Medical Physician Assistant
5601005386
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8102163
—
NC
Enumeration date
01/29/2009
Last updated
05/18/2022
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