Individual provider · Type 1 NPI

Ethan Jacob Wajswol, MD (5/18/2020)

Urology Physician · Canton, GA

NPI number 1366076945 Active

Practice location

470 Northside Cherokee Blvd Ste 201
Canton, GA 30115-8029

Call (770) 720-7246 Map

Fax (770) 720-4620

Mailing address

1930 Brannan Rd
Mcdonough, GA 30253-4310

Specialties and licenses

Taxonomy	Code	License
Urology Physician Primary	208800000X	99892 (GA)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

7 other providers at this address

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About NPI 1366076945

Ethan Jacob Wajswol, MD (5/18/2020)'s National Provider Identifier is 1366076945, issued on Feb 24, 2020. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Canton, GA. The record was last updated on Jun 26, 2025.