Wolfson, Ilya
Wolfson, Ilya is an individual health care provider with primary practice located at 3353 Trickum Rd Suite 201, Woodstock GA 30188-3686. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wolfson, Ilya can be contacted via phone (770) 591-4777.Contact Information
Primary practice address
3353 Trickum Rd Suite 201
Woodstock GA 30188-3686
Phone: (770) 591-4777
Fax: (770) 591-4795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 051860 | Georgia |
Profile Details
| NPI number | 1942261441 |
|---|---|
| LBN Legal business name | Wolfson, Ilya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2006 |
| Last updated | Apr 9th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942261441 | NPPES |
| Georgia | MEDICAID | 051415364D |
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