Mickey Davis Wooten
Driver • Carthage, MS
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mickey Wooten has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Mickey Wooten was a registered Driver practicing in Carthage, MS. Throughout an active medical career spanning 8 years, Mickey Wooten provided care at the practice location at 5254 COUNTY LINE RD until profile deactivation on 2020-09-11.
Practice Location & Contact Primary Location
5254 County Line Rd
Carthage, MS 390518063
Specialty Benchmarks & Practice Insights
Comparative analytics for Driver in Carthage, MS
Practicing in Carthage, MS (115 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 172A00000X
A person employed to operate a motor vehicle as a carrier of persons or property.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 11, 2020
NPI status registered as active in NPPES database
Registered at 5254 COUNTY LINE RD, CARTHAGE, MS 390518063 (Tel: 6012980025)
Registered at 5254 COUNTY LINE RD, CARTHAGE, MS 390518063 (Tel: 6012980025)
Recorded as MICKEY WOOTEN
Driver (License #06359874 in MS)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5254 County Line Rd
Carthage, MS 390518063
Phone: 6012980025
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.