Individual
JAMES ALAN WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 MEDICAL CENTER BLVD STE 230, LAWRENCEVILLE, GA 30046-7766
(678) 312-3500
(678) 312-3529
Mailing address
2200 MEDICAL CENTER BLVD STE 230, LAWRENCEVILLE, GA 30046-7766
(678) 312-3500
(678) 312-3529
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
36045
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000511508C
—
GA
01
—
202I781435
MEDICARE PTAN#
GA
Enumeration date
04/19/2006
Last updated
10/02/2024
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