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Organization

PERISCO WOFFORD MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PERISCO WOFFORD MD (OWNER)
(901) 345-1454
Entity
Organization

Contact information

Practice address
4567 MILLBRANCH RD, MEMPHIS, TN 38116-7437
(901) 345-1454
(901) 345-1456
Mailing address
4567 MILLBRANCH RD, MEMPHIS, TN 38116-7437
(901) 345-1454
(901) 345-1456

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD0000037436
TN

Other

Enumeration date
04/03/2014
Last updated
04/03/2014
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