ETHAN JACOB WAJSWOL

CANTON, GA
NPI1366076945
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: GA  99892)
Enumeration Date2020-02-24
Last Update Date2025-06-26
Business Address
Mr. ETHAN JACOB WAJSWOL MD (5/18/2020)
470 NORTHSIDE CHEROKEE BLVD STE 201
CANTON, GA 30115-8029
Phone number: 770-720-7246
Mailing Address
Mr. ETHAN JACOB WAJSWOL MD (5/18/2020)
1930 BRANNAN RD
MCDONOUGH, GA 30253-4310
Phone number: 678-284-4040