Mrs. Katie Louise Wooten
Nurse Practitioner - Family Medicine
475 Reed Rd Ste 104
Dalton
, Georgia 30720-6310
Mrs. Katie Louise Wooten
Nurse Practitioner - Family Medicine
475 Reed Rd Ste 104
Dalton
, Georgia 30720-6310
(706) 272-6445
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mrs. Katie Louise Wooten
- 475 Reed Rd Ste 104
- Dalton, GA
- Zip : 30720-6310
- Fax : (706) 272-6445
- Phone : (706) 278-1622
Second Address
- Mrs. Katie Louise Wooten
- 475 Reed Rd Ste 104
- Dalton, GA
- Zip : 30720-6310
- Fax : (706) 272-6445
- Phone : (706) 278-1622
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Is Mrs. Katie Louise Wooten a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | RN204465 | GA |
National Provider Identifier
| NPI | 1003281171 |
|---|---|
| Provider Name | Mrs. Katie Louise Wooten |
| First Address | Dalton, GA 30720-6310 |
| Second Address | Dalton, GA 30720-6310 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/12/2015 |
| Last Update Date | 02/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.