Wootton, James L

Wootton, James L is an individual health care provider with primary practice located at 300 Rawls Dr Ste 1300 , Mccomb MS 39648-2866. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wootton, James L can be contacted via phone (601) 249-3541.

Contact Information

Primary practice address
300 Rawls Dr Ste 1300 Mccomb MS 39648-2866
Phone: (601) 249-3541
Fax: (601) 249-3544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25172 Mississippi

Profile Details

NPI number 1114184249
LBN Legal business name Wootton, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2008
Last updated Mar 9th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114184249 NPPES
Mississippi MEDICAID 05039502

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