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Contact Information

LADEIDRA N WOOTEN, RN
4250 ANTELOPE LN
SNELLVILLE, GA30039-5694
 Phone: 770-778-1702
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for LADEIDRA N WOOTEN · (Female)

NPI # 1912770249
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 10/30/2023
Last updated 03/31/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # MT013436
  • GA License # RN243005
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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