Organization
WOLF SPECIFIC, INC
Active
Organization
WOLF SPECIFIC, INC
Active
Other names
The Upper Cervical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW TYLER WOLFERTZ D.C. (PRESIDENT)
(706) 756-5422
Entity
Organization
Contact information
Practice address
1697 VERNON RD STE A, LAGRANGE, GA 30240-4180
(706) 415-5245
Mailing address
1697 VERNON RD STE A, LAGRANGE, GA 30240-4180
(706) 415-5245
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CHIR008690
GA
Other
Enumeration date
03/29/2012
Last updated
08/28/2015
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