Wofford, John D

Wofford, John D is an individual health care provider with primary practice located at 2500 N State St Dept Of Medicine Division Of General Internal Med, Jackson MS 39216-4500. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Wofford, John D can be contacted via phone (601) 984-5660.

Contact Information

Primary practice address
2500 N State St Dept Of Medicine Division Of General Internal Med Jackson MS 39216-4500
Fax: (601) 984-6870
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 09475 Mississippi
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 09475 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 09475 Mississippi

Profile Details

NPI number 1255341525
LBN Legal business name Wofford, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Apr 25th, 2018 - about 6 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 1255341525 NPPES
Mississippi MEDICAID 00010735

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