Wofford, Charlie Jean

Wofford, Charlie Jean is an sole proprietor health care provider with primary practice located at 1136 Kincaid Bridge Rd Suite A, Winnsboro SC 29180-7116. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wofford, Charlie Jean can be contacted via phone (803) 635-1052.

Contact Information

Primary practice address
1136 Kincaid Bridge Rd Suite A Winnsboro SC 29180-7116
Phone: (803) 635-1052
Fax: (803) 712-9724
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32464 South Carolina

Profile Details

NPI number 1609031400
LBN Legal business name Wofford, Charlie Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2008
Last updated Mar 20th, 2014 - about 11 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 1609031400 NPPES
South Carolina MEDICAID 324644

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