Individual
DR. MICHAEL RALPH WOLFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11975 MORRIS RD, SUITE 310, ALPHARETTA, GA 30005-4419
(770) 752-0824
(770) 752-0845
Mailing address
5780 PEACHTREE DUNWOODY ROAD, SUITE 300, ATLANTA, GA 30342-1513
(404) 303-1224
(404) 303-1325
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
019463
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
019463
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000139587E
—
GA
05
—
000139587F
—
GA
05
—
000139587G
—
GA
Enumeration date
10/04/2005
Last updated
10/15/2014
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