Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 12612 | NC |
NPI | 1043505415 |
---|---|
Provider Name | Stephanie Manning Wolfe |
First Address | Greensboro, NC 27401-6312 |
Second Address | Greensboro, NC 27401-6312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2011 |
Last Update Date | 19/08/2021 |