Individual
BOBBY JOE WOLFE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 TAMBERLINE ST, BRANDON, MS 39042-3164
(601) 825-2141
Mailing address
100 TAMBERLINE ST, BRANDON, MS 39042-3164
(601) 825-2141
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
07076
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123676
—
MS
Enumeration date
02/16/2007
Last updated
04/15/2011
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