Individual
DR. STEPHANIE B WOOLLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
GEORGETOWN COMMUNITY HOSPITAL, 606 BLACK RIVER ROAD, GEORGETOWN, SC 29440
(843) 520-8452
Mailing address
105 OLD WACCAMAW DR, PAWLEYS ISLAND, SC 29585-7278
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042002
GA
207RN0300X
Nephrology Physician
042002
GA
207RN0300X
Nephrology Physician
Primary
15566
SC
208M00000X
Hospitalist Physician
042002
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000706428V
—
GA
05
—
N06701
—
SC
Enumeration date
06/15/2005
Last updated
01/25/2022
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