Organization
UROLOGY CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH WOODSON WOLFE M.D. (PHYSICIAN OWNER)
(662) 720-9413
Entity
Organization
Contact information
Practice address
100 HOSPITAL ST, SUITE 100A, BOONEVILLE, MS 38829-3354
(662) 720-9413
(662) 720-9415
Mailing address
100 HOSPITAL ST, SUITE 100A, BOONEVILLE, MS 38829-3354
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13642
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124801
—
MS
Enumeration date
04/25/2007
Last updated
07/12/2007
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