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WOLF SPECIFIC INC NPI 1013283563


NPI Information

NPI: 1013283563
Provider Name: WOLF SPECIFIC, INC

Doing Business As: THE UPPER CERVICAL CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1697 VERNON RD STE A
LAGRANGE, GA
ZIP 30240
Phone: (706) 415-5245
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WOLF SPECIFIC, INC is a clinic center in Lagrange, GA. The provider is 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). WOLF SPECIFIC, INC NPI is 1013283563. The provider is registered as an organization entity type.
The provider Is Doing Business As The Upper Cervical Center.

The provider's business location address is:

1697 VERNON RD STE A
LAGRANGE, GA
ZIP 30240-180
Phone: (706) 415-5245

The provider's authorized official is Matthew Tyler Wolfertz .
The authorized official title is President and has the following contact phone number (706) 756-5422.

The enumeration date for this NPI number is 3/29/2012 and was last updated on 8/28/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterCHIR008690GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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