Individual
ETHAN WOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
010084
GA
2084P0800X
Psychiatry Physician
Primary
83486
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
06/18/2018
Last updated
02/06/2026
Update your record
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