| Ada Williams-wooten, MD | |
|
101 Clinic Dr, Tarboro, NC 27886-1935 | |
| (252) 823-2105 | |
| Not Available |
| Full Name | Ada Williams-wooten |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 101 Clinic Dr, Tarboro, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346210507 | NPI | - | NPPES |
| 37762 | Other | NC | MEDCOST |
| 87705 | Other | NC | BCBS |
| 1252274 | Other | NC | UNITED HEALTHCARE |
| 8987705 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 39714 (North Carolina) | Primary |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Ada Williams-wooten, MD 101 Clinic Dr, Tarboro, NC 27886-1935 Ph: (252) 823-2105 | Ada Williams-wooten, MD 101 Clinic Dr, Tarboro, NC 27886-1935 Ph: (252) 823-2105 |
Dr. Jon Dubose, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 111 Hospital Dr, Tarboro, NC 27886 Phone: 252-641-7700 Fax: 252-641-7313 | |
Dr. Gregory Jay Stark, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-2105 Fax: 252-823-3164 | |
Sreelakshmi Chettoor Janardhanan, Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-2105 |