Organization · Type 2 NPI

Wolf Specific, Inc

Clinic/Center · Lagrange, GA

NPI number 1013283563 Active

Practice location

1697 Vernon Rd Ste A
Lagrange, GA 30240-4180

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XCHIR008690 (GA)

Clinic/Center: 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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About NPI 1013283563

Wolf Specific, Inc's National Provider Identifier is 1013283563, issued on Mar 29, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lagrange, GA. The record was last updated on Aug 28, 2015.