Individual
MR. WESLEY SHANE WOLFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, RRT
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30045-7694
(678) 442-3317
Mailing address
116 CENTRAL GROVE RD NW, ROME, GA 30165-2589
(404) 514-2192
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4941
GA
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
09/11/2014
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