Individual
BRANDOL WOLFENBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1459 LANEY WALKER BLVD, AUGUSTA, GA 30912-0002
(706) 721-7005
Mailing address
1459 LANEY WALKER BLVD, AUGUSTA, GA 30912-0002
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
15948
GA
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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