Individual
ERIC H WOLFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1340 BROAD STREET, SUITE 440, GULFPORT, MS 39501
(228) 865-3201
(228) 575-1464
Mailing address
PO BOX 17708, HATTIESBURG, MS 39404-7708
(228) 865-3201
(228) 575-1464
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
18381
MS
207T00000X
Neurological Surgery Physician
Primary
18381
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07878395
—
MS
01
—
P00222453
RAILROAD MEDICARE
MS
Enumeration date
10/06/2006
Last updated
09/05/2018
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