Individual
DR. JOSEPH WOODSON WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HOSPITAL ST, SUITE 100A, BOONEVILLE, MS 38829-3354
(662) 720-9413
Mailing address
1812 GLEN OAKS LN, DYERSBURG, TN 38024-2402
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
06/30/2005
Last updated
07/12/2007
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