person
Walter Ray Wolfe, MD
Specialist in Canton, Mississippi
NPI 1073629739

Walter Ray Wolfe is a Specialist based in Canton, MS. Walter Ray Wolfe practices in Canton, MS and has the professional credentials of MD. The NPI Number for Walter Ray Wolfe is 1073629739 and holds a License No. 11096 (Mississippi).

The current practice location address for Walter Ray Wolfe is 163 River Oaks Dr Ste 204, Canton, MS and can be reached out via phone at 601-855-4881 and via fax at 601-859-5454.

Location: 163 River Oaks Dr Ste 204, Canton, MS, 39046-5324
person
Provider Profile Details
NPI Number
1073629739
Provider Name
Walter Ray Wolfe
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
163 River Oaks Dr Ste 204, Canton, MS, 39046-5324
Phone Number
601-855-4881
Fax Number
601-859-5454
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00010644 05 MS
institution
Provider Business Practice Location Address Details
Address
163 River Oaks Dr Ste 204
City
State
Zip
39046
Phone Number
601-855-4881
Fax Number
601-859-5454
person
Provider Business Mailing Address Details
Address
163 River Oaks Dr Ste 204
City
State
Zip
39046
Phone Number
601-855-4881
Fax Number
601-859-5454
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
11096 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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