Individual
GRANT COLLINS WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 TOWNE LAKE PKWY, SUITE 412, WOODSTOCK, GA 30189-1600
(770) 924-9656
(770) 852-7574
Mailing address
900 TOWNE LAKE PKWY, SUITE 412, WOODSTOCK, GA 30189-1600
(770) 924-9656
(770) 852-7574
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
69738
GA
Other
Enumeration date
07/20/2007
Last updated
02/26/2021
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