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Individual
RICKY DAVID WOLFE
Active
Individual
RICKY DAVID WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
14003
SC
207ZP0101X
Anatomic Pathology Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00708606A
—
GA
05
—
5901767
—
NC
05
—
Q41705
—
SC
Enumeration date
12/22/2005
Last updated
10/24/2007
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