Individual
RICHARD MARK WOLFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 BRESEE ST, DONALSONVILLE, GA 39845
(229) 524-1307
(229) 524-6268
Mailing address
205 BRESEE ST, DONALSONVILLE, GA 39845
(229) 524-1307
(229) 524-6268
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME36950
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008197
AVMED
FL
05
—
065505800
—
FL
01
—
202228700
UNITED HEALTHCARE
FL
01
—
222439
HEALTHEASE
FL
01
—
4200788
AETNA
FL
01
—
95515
BSF
FL
Enumeration date
09/07/2006
Last updated
07/09/2008
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