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1912326885
ERIC WOOTEN
SUMTER, SC
NPI
1912326885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: SC 21399)
Enumeration Date
2014-04-08
Last Update Date
2018-10-24
Business Address
ERIC WOOTEN PMHNP-BC
1278 N LAFAYETTE DR
SUMTER, SC 29150-2964
Phone number: 803-774-4500
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Mailing Address
ERIC WOOTEN PMHNP-BC
1278 N LAFAYETTE DR
SUMTER, SC 29150-2964
Phone number: 803-774-4500
Copy
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