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Individual

DR. DAREN KYLE WOOTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3052
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3052

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
51192
KY
207P00000X
Emergency Medicine Physician
Primary
62177
GA
207R00000X
Internal Medicine Physician
51192
KY
208M00000X
Hospitalist Physician
51192
KY

Other

Enumeration date
06/28/2007
Last updated
09/03/2024
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