Individual
JOHN D WOFFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, DEPT OF MEDICINE DIVISION OF GENERAL INTERNAL MED, JACKSON, MS 39216-4500
(601) 984-5660
(601) 984-6870
Mailing address
2500 NORH STATE STREET, HOSPITALIST, JACKSON, MS 39216-4500
(601) 984-5600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
09475
MS
208100000X
Physical Medicine & Rehabilitation Physician
Primary
09475
MS
208M00000X
Hospitalist Physician
09475
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010735
—
MS
Enumeration date
08/09/2006
Last updated
04/25/2018
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