IndividualActive
Antoinette Wooten
NPI 1154095057 · Nurse's Aide · Grayson, GA
Provider details
- NPI number
- 1154095057
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- CN0030054335 (GA)
Practice location
1233 Lakeview Cove Dr
Grayson, GA 30017-7916
Phone: (404) 775-8044
Fax: (404) 759-2550
Mailing address
1233 Lakeview Cove Dr
Grayson, GA 30017-7916
Registry dates
- Enumerated
- 2021-08-04
- Last updated
- 2021-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.