All Medicaid billing entities listing WOOTEN, RUSSELL (OWNER/MEMBER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| North Carolina | 1 | $35K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MACTA, LLC | ROCKY MOUNT, NC | Community/Behavioral Health Agency | $35K |