Individual
DR. ELIZABETH ANNE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
245 MEMORIAL DR, JACKSONVILLE, NC 28546-6333
(910) 353-4333
(910) 353-6529
Mailing address
245 MEMORIAL DR, JACKSONVILLE, NC 28546-6333
(910) 353-4333
(910) 353-6529
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01064806A
IN
207VX0000X
Obstetrics Physician
Primary
200001032
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127CR
NCBCBS
NC
05
—
89127CR
—
NC
01
—
A0452
MEDCOST
NC
Enumeration date
07/12/2006
Last updated
11/04/2010
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