Individual
MONICA FAYE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
255 BAPTIST BLVD STE 401, COLUMBUS, MS 39705
(662) 244-2288
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00434
MS
Other
Enumeration date
08/08/2017
Last updated
06/25/2021
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