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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