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1669960225
NATHANIEL GRAY WOOTEN
CHAPEL HILL, NC
NPI
1669960225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC 238066)
Enumeration Date
2018-04-28
Last Update Date
2018-04-28
Business Address
NATHANIEL GRAY WOOTEN MD
321 S COLUMBIA ST
CHAPEL HILL, NC 27514-4309
Phone number: 919-966-3172
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Mailing Address
NATHANIEL GRAY WOOTEN MD
PEDIATRIC EDUCATION OFFICE CB 7593
CHAPEL HILL, NC 27599-7593
Phone number: 919-966-3172
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