Individual
LUTHER H WOLFF III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 10TH AVE STE 310, COLUMBUS, GA 31901-3607
(706) 641-0104
(706) 641-0106
Mailing address
1900 10TH AVE STE 310, COLUMBUS, GA 31901-3607
(706) 641-0104
(706) 641-0106
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
055581
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52703475-014
BLUE CROSS BLUE SHIELD OF GEORGIA
—
01
—
60049305
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
01
—
P00409805
RAILROAD MEDICARE
GA
Enumeration date
01/28/2006
Last updated
11/12/2024
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