Wolfson, Michael Ralph

Wolfson, Michael Ralph is an individual health care provider with primary practice located at 11975 Morris Rd Suite 310, Alpharetta GA 30005-4419. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Wolfson, Michael Ralph can be contacted via phone (770) 752-0824.

Contact Information

Primary practice address
11975 Morris Rd Suite 310 Alpharetta GA 30005-4419
Fax: (770) 752-0845
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 019463 Georgia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 019463 Georgia

Profile Details

NPI number 1114914116
LBN Legal business name Wolfson, Michael Ralph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Oct 15th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114914116 NPPES
Georgia MEDICAID 000139587F
Georgia MEDICAID 000139587G
Georgia MEDICAID 000139587E

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