MEDICARE: DR. PERISCO A WOFFORD MD

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
1	207P00000X	Emergency Medicine Physician	37436	TN
2	207R00000X	Internal Medicine Physician	MD0000037436	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922000918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PERISCO A WOFFORD MD

Provider Business Mailing Address
First Line	:	4567 MILLBRANCH RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38116-7437
Country	:	US
Telephone Number	:	901-034-5145
Fax Number	:	901-345-1456

Provider Business Practice Location Address
First Line	:	4567 MILLBRANCH RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38116-7437
Country	:	US
Telephone Number	:	901-345-1454
Fax Number	:	901-345-1456

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	03/07/2023

Similar Medicare Providers

1568662229 — JESSE E. MCGEE MD PC
Practice Location Address:

4567 MILLBRANCH RD
MEMPHIS, TN
38116-7437

Practice Phone: 901-345-1454
Practice Fax: 901-345-1456

1306006986 — ROBERT PERSON LANE DDS
Practice Location Address:

4561 MILLBRANCH RD STE 1
MEMPHIS, TN
38116-7437

Practice Phone: 901-396-5700
Practice Fax: 347-442-3138

1447678776 — PERISCO WOFFORD MD PLLC
Practice Location Address:

4567 MILLBRANCH RD
MEMPHIS, TN
38116-7437

Practice Phone: 901-345-1454
Practice Fax: 901-345-1456

1811516826 — COMFORTS OF LIFE HOME CARE INC
Practice Location Address:

4523 MILLBRANCH RD
MEMPHIS, TN
38116-7437

Practice Phone: 901-846-9404
Practice Fax:

1598574113 — EYE CARE ASSOCIATES OF CO, LLC
Practice Location Address:

4557 MILLBRANCH RD STE 16
MEMPHIS, TN
38116-7437

Practice Phone: 901-346-8222
Practice Fax:

1912046186 — CENTRAL FABRICATION, INC.
Practice Location Address:

1665 N SHELBY OAKS DR STE 105
MEMPHIS, TN
38134-7437

Practice Phone: 901-725-0060
Practice Fax: 901-725-4270

Directions to “ DR. PERISCO A WOFFORD MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.