Individual
JOHN LELAND WOLFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E CHEVES ST, SUITE 301, FLORENCE, SC 29506-2615
(843) 777-7166
(843) 777-7167
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7120
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
21156
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T49873
—
SC
Enumeration date
03/01/2006
Last updated
02/08/2021
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