Individual
HEATHER L. WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
225 SEVEN FARMS DR STE 105, DANIEL ISLAND, SC 29492-8353
(843) 971-4460
Mailing address
225 SEVEN FARMS DR STE 105, DANIEL ISLAND, SC 29492-8353
(843) 971-4460
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1820
SC
Other
Enumeration date
06/29/2006
Last updated
12/04/2018
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