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NPI Code Detail

MEDICARE: APRIL M WOLFE LDO 2264

MEDICARE:   APRIL M WOLFE  LDO 2264
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician2264NC

General Provider Information

NPI Number : 1285325217
Entity Type Code : Individual
Provider Name (Legal Business Name) : APRIL M WOLFE LDO 2264
Provider Business Mailing Address
First Line : 1927 CHAMBERS LOOP RD
Second Line :
City : TIMBERLAKE
State : NC
Zip : 27583-7455
Country : US
Telephone Number : 740-739-8311
Fax Number :
Provider Business Practice Location Address
First Line : 1525 GLENN SCHOOL RD
Second Line :
City : DURHAM
State : NC
Zip : 27704-3515
Country : US
Telephone Number : 919-688-3259
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2023
Last Update Date : 05/19/2023

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Directions to “ APRIL M WOLFE LDO 2264” Practice Location

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