Wooley, John R

Wooley, John R is an individual health care provider with primary practice located at 501 Marshall Street Suite 400, Jackson MS 39202-1687. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Wooley, John R can be contacted via phone (601) 354-0869.

Contact Information

Primary practice address
501 Marshall Street Suite 400 Jackson MS 39202-1687
Phone: (601) 354-0869
Fax: (601) 352-6521
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 10041 Mississippi
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 10041 Mississippi

Profile Details

NPI number 1174577944
LBN Legal business name Wooley, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Nov 19th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174577944 NPPES
Mississippi MEDICAID 0015896

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