Provider Demographics
NPI:1285929133
Name:WOLFE, LAURA MARIE (MD)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:MARIE
Last Name:WOLFE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1316
Mailing Address - Street 2:
Mailing Address - City:MONTREAT
Mailing Address - State:NC
Mailing Address - Zip Code:28757-1316
Mailing Address - Country:US
Mailing Address - Phone:828-989-4859
Mailing Address - Fax:
Practice Address - Street 1:55 BUCKEYE COVE RD STE 200A
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NC
Practice Address - Zip Code:28716-4511
Practice Address - Country:US
Practice Address - Phone:828-235-3023
Practice Address - Fax:828-452-8837
Is Sole Proprietor?:No
Enumeration Date:2011-06-17
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101253007207Q00000X
NC8172084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine