Wooten, Thomas D

Wooten, Thomas D is an individual health care provider with primary practice located at 125 Doughty St Ste 420, Charleston SC 29403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Wooten, Thomas D can be contacted via phone (843) 723-3441.

Contact Information

Primary practice address
125 Doughty St Ste 420 Charleston SC 29403
Phone: (843) 723-3441
Fax: (843) 805-4040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 08811 South Carolina

Profile Details

NPI number 1689621666
LBN Legal business name Wooten, Thomas D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Oct 3rd, 2007 - about 17 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 1689621666 NPPES
South Carolina MEDICAID 088112

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