Individual
JACOB WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3320 OLD JEFFERSON RD BLDG 700, ATHENS, GA 30607-1465
(762) 316-2035
(706) 353-2992
Mailing address
3320 OLD JEFFERSON RD BLDG 700, ATHENS, GA 30607-1465
(706) 353-2990
(706) 353-2992
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11762
GA
Other
Enumeration date
07/24/2023
Last updated
08/22/2024
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