Individual provider · NPI-1
Melanie Susannah Wooten, M.D.
Pathology, Anatomic Pathology & Clinical Pathology · Athens, GA
NPI number1629464912
StatusActive
Last updated in NPPESJul 8, 2026
Details
- NPI
- 1629464912
- Entity type
- Individual (NPI-1)
- Name
- Melanie Susannah Wooten
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2015
- Certification date
- Jul 8, 2026
- Last updated
- Jul 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 79582 | GA | Yes |
| 207ZC0006X | Pathology, Clinical Pathology | 79582 | GA |
Practice location
1199 Prince AveAthens, GA 30606-2797
Phone 706-475-7000
Mailing address
5700 Southwyck BlvdToledo, OH 43614-1509
Phone 800-288-8325 · Fax 419-866-5453
Other practice locations
1364 Clifton Rd Ne
Atlanta, GA 30322-1059
Atlanta, GA 30322-1059
Phone 404-727-5658
1120 15th St
Augusta, GA 30912-1059
Augusta, GA 30912-1059
Phone 706-721-8623
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