Individual
MAX WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
616 19TH ST, DOCTORS HOSPITAL, COLUMBUS, GA 31901-1528
(706) 494-4282
(706) 494-4459
Mailing address
PO BOX 2787, COLUMBUS, GA 31902-2787
(706) 653-1102
(706) 653-1230
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
29972
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00349973AO
—
GA
Enumeration date
09/07/2005
Last updated
07/08/2007
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