Most Relevant Information
Provider Data
| NPI Number: | 1003281171 |
| Provider Name: | KATIE LOUISE WOOTEN NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN204465 |
Most Important Dates
| Enumeration Date: | 12/01/2015 |
| Last Updated: | 01/25/2024 |
Provider Practice Location
475 REED RD STE 104
DALTON
GA
307206310
Practice Location Phone/Fax
| Phone: | 7062781622 |
| Fax: | 7062726445 |
Provider Mailing Location
475 REED RD STE 104
DALTON
GA
307206310
Provider Mailing Phone/Fax
| Phone: | 7062781622 |
| Fax: | 7062726445 |