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Individual

JERALD F WOLFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
21272 HIGHLAND RIDGE LN, PARIS, VA 20130-1754
(540) 592-3767
(540) 592-3767
Mailing address
21272 HIGHLAND RIDGE LN, PARIS, VA 20130-1754
(540) 592-3767
(540) 592-3767

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101247112
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
32916
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D0074457
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
88746
BCBSNC
NC
05
8988746
NC
Enumeration date
07/26/2005
Last updated
02/19/2025
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