Individual
DR. JONATHAN MICHAEL WOOLFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 MOUNT VERNON HWY, SUITE 130, ATLANTA, GA 30328-4295
(770) 804-1684
(770) 804-1679
Mailing address
800 MOUNT VERNON HWY, SUITE 130, ATLANTA, GA 30328-4295
(770) 804-1684
(770) 804-1679
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
034529
GA
207W00000X
Ophthalmology Physician
Primary
034529
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000679478B
—
GA
05
—
000679478C
—
GA
05
—
000679478D
—
GA
05
—
000679478E
—
GA
05
—
000679478F
—
GA
05
—
000679478G
—
GA
05
—
000679478H
—
GA
05
—
000679478I
—
GA
05
—
000679478J
—
GA
Enumeration date
10/05/2006
Last updated
05/26/2010
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