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1275761025
ILYA WOLFSON M.D., INC
WOODSTOCK, GA
NPI
1275761025
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Entity Type
Organization
Authorized Contact
ILYA WOLFSON
Owner
770-591-4777
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 051860)
Enumeration Date
2009-06-30
Last Update Date
2022-03-01
Business Address
ILYA WOLFSON M.D., INC
3380 TRICKUM RD BLDG 1000-102
WOODSTOCK, GA 30188-3690
Phone number: 770-591-4777
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Mailing Address
ILYA WOLFSON M.D., INC
3380 TRICKUM RD BLDG 1000-102
WOODSTOCK, GA 30188-3690
Phone number: 770-591-4777
Copy
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