Wolf Specific, Inc

Clinic/Center · Lagrange, GA

Organization Active NPI

NPI number 1013283563

Practice location

1697 Vernon Rd Ste a
Lagrange, GA 30240-4180
Phone
(706) 415-5245

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NPI record

NPI
1013283563
Entity type
Organization (Type 2)
Enumeration date
March 29, 2012
Last updated
August 28, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinic/Center Primary 261Q00000X CHIR008690 GA

Authorized official

Name
Dr. Matthew Tyler Wolfertz, D.C.
Title
President
Phone
(706) 756-5422

Other names

  • The Upper Cervical Center

About Wolf Specific, Inc

Wolf Specific, Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Clinic/Center (code 261Q00000X). The practice location is 1697 Vernon Rd Ste a, Lagrange, GA 30240-4180. The NPI number 1013283563 was assigned on March 29, 2012 and the record was last updated on August 28, 2015.

Wolf Specific, Inc lists a license in the registry: #CHIR008690 (GA) for Clinic/Center. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Matthew Tyler Wolfertz, D.C., President.

Frequently asked questions

What is the NPI number of Wolf Specific, Inc?

The NPI number is 1013283563.

What is the phone number of Wolf Specific, Inc?

The phone number listed for the practice location is (706) 415-5245.

Where is Wolf Specific, Inc located?

1697 Vernon Rd Ste a, Lagrange, GA 30240-4180.

What is the taxonomy code for Wolf Specific, Inc?

The primary taxonomy code is 261Q00000X – Clinic/Center.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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