Ilya Wolfson M.D., Inc

LBN: Ilya Wolfson M.D., Inc
Ilya Wolfson M.D., Inc is an health care organization with primary practice located at 3380 Trickum Rd Bldg 1000-102 , Woodstock GA 30188-3690. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Ilya Wolfson M.D., Inc can be contacted via phone (770) 591-4777, or through Wolfson, Ilya via phone (770) 591-4777.

Contact Information

Primary practice address
3380 Trickum Rd Bldg 1000-102 Woodstock GA 30188-3690
Phone: (770) 591-4777
Fax: (770) 406-2340
Website:
Map and Directions
Authorized official contact:
Name: Wolfson, Ilya Doctor of Medicine (MD)
Phone: (770) 591-4777

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 051860 Georgia

Profile Details

NPI number 1275761025
LBN Legal business name Ilya Wolfson M.D., Inc
DBA Doing business as
Authorized official Wolfson, Ilya Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2009
Last updated Mar 1st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275761025 NPPES
Georgia MEDICAID 051415364D

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