Provider Demographics
NPI:1003096926
Name:JANET D. WOOLERY,M.D., LLC
Entity Type:Organization
Organization Name:JANET D. WOOLERY,M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:D
Authorized Official - Last Name:WOOLERY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-667-6226
Mailing Address - Street 1:PO BOX 6648
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29502-6648
Mailing Address - Country:US
Mailing Address - Phone:843-667-6226
Mailing Address - Fax:843-667-6224
Practice Address - Street 1:520 W PALMETTO ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4428
Practice Address - Country:US
Practice Address - Phone:843-667-6226
Practice Address - Fax:843-667-6224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-08
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty