Wolf Specific, INC

NPI #1013283563 in Lagrange, Georgia

Provider Information

NPI Number
1013283563
Entity Type
Organization
Organization Name
Wolf Specific, INC
Primary Specialty
Clinic/Center
Enumeration Date
Mar 29, 2012
Last Updated
Aug 28, 2015

Practice Location

Address
1697 VERNON RD STE A
State
Georgia
ZIP Code
30240-4180
Phone
(706) 415-5245

Authorized Official

Name
DR. MATTHEW TYLER WOLFERTZ, D.C.
Title
PRESIDENT
Phone
(706) 756-5422

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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