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Individual

DR. MATTIE FEASEL WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2220 N DRUID HILLS RD NE, ATLANTA, GA 30329-3117
(404) 785-6761
Mailing address
1854 BRAEBURN CIR SE, ATLANTA, GA 30316-2218
(252) 452-2760

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
82907
GA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
82907
GA

Other

Enumeration date
04/05/2016
Last updated
08/19/2024
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