Individual
DR. ETHAN WADE TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 PEACHTREE ST NE, SUITE 1185, ATLANTA, GA 30308-2247
(404) 223-0792
(404) 223-5815
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(404) 223-0792
(404) 223-5815
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
46265
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
463493784D
—
GA
Enumeration date
06/26/2007
Last updated
08/18/2020
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