Individual
DR. PERISCO A WOFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4567 MILLBRANCH RD, MEMPHIS, TN 38116-7437
(901) 345-1454
(901) 345-1456
Mailing address
4567 MILLBRANCH RD, MEMPHIS, TN 38116-7437
(901) 034-5145
(901) 345-1456
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
37436
TN
207R00000X
Internal Medicine Physician
Primary
MD0000037436
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3886982
—
TN
Enumeration date
08/10/2005
Last updated
03/07/2023
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