Wofford, Perisco A

Wofford, Perisco A is an individual health care provider with primary practice located at 4567 Millbranch Rd , Memphis TN 38116-7437. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wofford, Perisco A can be contacted via phone (901) 345-1454.

Contact Information

Primary practice address
4567 Millbranch Rd Memphis TN 38116-7437
Phone: (901) 345-1454
Fax: (901) 345-1456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 37436 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD0000037436 Tennessee

Profile Details

NPI number 1922000918
LBN Legal business name Wofford, Perisco A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922000918 NPPES
Tennessee MEDICAID 3886982

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