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Wolf Specific, Inc
Clinic/Center in Lagrange, Georgia
NPI 1013283563

Wolf Specific, Inc is a Clinic/Center based in Lagrange, GA. Wolf Specific, Inc practices in Lagrange, GA. The NPI Number for Wolf Specific, Inc is 1013283563 and holds a License No. CHIR008690 (Georgia).

The current practice location address for Wolf Specific, Inc is 1697 Vernon Rd Ste A, Lagrange, GA and can be reached out via phone at 706-415-5245.

Location: 1697 Vernon Rd Ste A, Lagrange, GA, 30240-4180
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013283563
Provider Name
Wolf Specific, Inc
Credential
Provider Entity Type
Organization
Address
1697 Vernon Rd Ste A, Lagrange, GA, 30240-4180
Phone Number
706-415-5245
Fax Number
Provider Enumeration Date
03/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1697 Vernon Rd Ste A
City
Lagrange
State
Georgia
Zip
30240-4180
Phone Number
706-415-5245
Fax Number
person
Provider Business Mailing Address Details
Address
1697 Vernon Rd Ste A
City
Lagrange
State
Georgia
Zip
30240-4180
Phone Number
706-415-5245
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
CHIR008690 (Georgia)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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