Individual
RICKY DAVID WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1530 N LIMESTONE ST, GAFFNEY, SC 29340
(864) 487-1603
(864) 487-1626
Mailing address
1530 N LIMESTONE ST, GAFFNEY, SC 29340
(864) 487-1603
(864) 487-1626
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
14003
SC
207ZP0101X
Anatomic Pathology Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00708606A
—
GA
05
—
5901767
—
NC
05
—
Q41705
—
SC
Enumeration date
12/22/2005
Last updated
10/24/2007
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