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Search › Georgia › 363A00000X

Tyler Wooten, PA-C

NPI 1851875991 · on the registry since 2018

Practice

Address
590 Nancy St Nw
Marietta, GA 30060
Phone
(770) 423-0395
Fax
(770) 499-0325
Organisation at this address
Wellstar Medical Group, Llc
Summit Surgical Specialists Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-11-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia