| Wolfe Family Medical Clinic Pllc | |
|
203 E Walnut St Charleston MS 38921 | |
| (662) 647-0900 | |
| (662) 647-0938 |
| Full Name | Wolfe Family Medical Clinic Pllc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 203 E Walnut St, Charleston, Mississippi |
| Authorized Official Name and Position | Carlene M Wolfe (NURSE PRACTITIONER OWNER) |
| Authorized Official Contact | 6626470900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wolfe Family Medical Clinic Pllc Po Box 69 203 East Walnut Street Charleston MS 38921-0069 Ph: (662) 647-0900 | Wolfe Family Medical Clinic Pllc 203 E Walnut St Charleston MS 38921 Ph: (662) 647-0900 |
| NPI Number | 1316152010 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 03/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316152010 | NPI | - | NPPES |
| 08184344 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Mississippi) | Primary |