Individual
JENNIFER M WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.-P.A.-C.
Contact information
Practice address
16741 HIGHWAY 67 STE A, STATESBORO, GA 30458-2529
(912) 871-7890
(912) 871-7898
Mailing address
16741 HIGHWAY 67 STE A, STATESBORO, GA 30458-2529
(912) 871-7890
(912) 871-7898
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004532
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379987348B
—
GA
Enumeration date
11/03/2006
Last updated
01/04/2011
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