Healthcare Provider Details

I. General information

NPI: 1043471063
Provider Name (Legal Business Name): ERIN L WOOTEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIN L WRIGHT MD

II. Dates (important events)

Enumeration Date: 06/23/2008
Last Update Date: 04/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1826 W ARLINGTON BLVD
GREENVILLE NC
27834-5704
US

IV. Provider business mailing address

1826 W ARLINGTON BLVD
GREENVILLE NC
27834-5704
US

V. Phone/Fax

Practice location:
  • Phone: 252-329-7337
  • Fax: 252-329-1477
Mailing address:
  • Phone: 252-329-7337
  • Fax: 252-329-1477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2009-00500
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: