Individual
CAROLINE WOLTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4235 JOHNS CREEK PKWY, SUWANEE, GA 30024-6038
(770) 442-1911
Mailing address
378 VISTA LAKE DR, SUWANEE, GA 30024-7420
(706) 536-9094
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/25/2018
Last updated
03/02/2022
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