Organization
JACK H WOLF MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK H WOLF MD (OWNER)
(336) 578-3465
Entity
Organization
Contact information
Practice address
236 RIVERBEND RD, GRAHAM, NC 27253
(336) 578-3465
(336) 578-3466
Mailing address
236 RIVERBEND RD, GRAHAM, NC 27253
(336) 578-3465
(336) 578-3466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89011XU
—
NC
Enumeration date
11/21/2006
Last updated
08/22/2020
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