MEDICARE: SCOTT JAY WOLFE M.D.

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	207Q00000X	Family Medicine Physician	18058	MS

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	:	1740215797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT JAY WOLFE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 19143
Second Line	:
City	:	NATCHEZ
State	:	MS
Zip	:	39122-9143
Country	:	US
Telephone Number	:	601-445-7773
Fax Number	:	601-445-5911

Provider Business Practice Location Address
First Line	:	46 SEARGENT S. PRENTISS DR
Second Line	:	SUITE 203
City	:	NATCHEZ
State	:	MS
Zip	:	39120-4792
Country	:	US
Telephone Number	:	601-445-7773
Fax Number	:	601-445-5911

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	07/18/2024

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Directions to “ SCOTT JAY WOLFE M.D.” Practice Location

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