Organization
VIRGINIA W WOLF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA W WOLF RD CDE LDN (DIETITIAN)
(919) 396-2248
Entity
Organization
Contact information
Practice address
407 N HERMAN ST, GOLDSBORO, NC 27530-3816
(919) 396-2248
(919) 583-9790
Mailing address
102 TEAL CIR, GOLDSBORO, NC 27534-9550
(919) 583-9788
(919) 583-9790
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L001300
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912132515
NC BLUE CROSS AND BLUE SHEILD
NC
Enumeration date
07/06/2015
Last updated
07/12/2015
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