Marion R. Wofford in Jackson - Internal Medicine

Marion R. Wofford - NPI 1720013428

Marion R. Wofford is a Internal Medicine in Jackson, Mississippi. Marion R. Wofford practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Marion R. Wofford is 1720013428. The last update date is 2016-09-02.

Marion R. Wofford's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019846525 and fax number 6019846853. The mailing address for Marion R. Wofford is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Marion R. Wofford
Address 2500 N State St, Jackson, Mississippi
Phone Number 6019846525
Fax Number 6019846853
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1720013428
Provider Enumeration Date 2006-07-11
Last Updated Date 2016-09-02

Provider Mailing Address Detail

Address 2500 N State St
City Jackson
State Mississippi (MS)
Post Code 392164500
Phone Number 6019846525
Fax Number 6019846853

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 13910
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1053341 LA --
116903 MS --
P00462361 MS RAILROAD MEDICARE PTAN
P1271440 MS RAILROAD MEDICARE

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FAQs about Marion R. Wofford

What is the unique provider identifier assigned to Marion R. Wofford?

The Marion R. Wofford has been issued the NPI (National Provider Identifier) 1720013428 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Marion R. Wofford's physical address?

The Marion R. Wofford is physically located at 2500 N State St, in the city of Jackson, MS, with the postal code 392164500.

What is Marion R. Wofford's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Marion R. Wofford is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1720013428 to Marion R. Wofford?

The Centers for Medicare & Medicaid Services originally issued the 1720013428 to Marion R. Wofford on 2006-07-11.

When was the Marion R. Wofford's information last updated?

The Marion R. Wofford's information was last updated on 2016-09-02.

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