Individual
MRS. MOLLIE ROSE WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30045-7694
(619) 993-9916
Mailing address
5335 AMBERDEN HALL DR, SUWANEE, GA 30024-7338
(678) 482-2048
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004608
GA
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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