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General NPI Number Information
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NPI Number | 1881518082
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Entity Type | Organization
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Legal Business Name | WOOLEY AND COMPANY ENTERPRISE
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 702 PRESTIGE PT
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-6627
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Country | US
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Telephone | 803-634-9105
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Fax | 803-634-9105
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Provider Business Mailing Address
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Address Line | 702 PRESTIGE PT
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-6627
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Country | US
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Telephone | 803-634-9105
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Fax | 803-634-9105
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Authorized Official
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Title or Position | PHYSICIAN
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Name | RAHIM WOOLEY
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Credential | MD
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Telephone | 803-634-9105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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