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Active NPI 1013283563 Organization (Entity Type 2)

Wolf Specific, Inc

Clinic/Center • Lagrange, GA

About Wolf Specific, Inc NPI 1013283563 Summary

Wolf Specific, Inc is a verified healthcare organization specializing in Clinic/Center operating in Lagrange, GA. Located at 1697 VERNON RD STE A, this facility provides patient care and medical services under National Provider Identifier (NPI) 1013283563.

Administrative operations and authorized compliance are overseen by Matthew Wolfertz (President).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1697 Vernon Rd Ste A

Lagrange, GA 302404180

Telephone 7064155245

Authorized Official Information

Authorized Contact Name

DR. Matthew Wolfertz , D.C.

Title / Role

President

Official Telephone

7067565422

Facility Classifications & Specialties

Clinic/Center Primary Taxonomy

NUCC Taxonomy Code: 261Q00000X

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Chiropractor

Lagrange, GA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active August 28, 2015

NPI status registered as active in NPPES database

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Updated Practice Location August 28, 2015

Registered at 1697 VERNON RD STE A, LAGRANGE, GA 302404180 (Tel: 7064155245)

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Updated Business Mailing Address August 28, 2015

Registered at 1697 VERNON RD STE A, LAGRANGE, GA 302404180 (Tel: 7064155245)

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Organization / Clinic Name Updated August 28, 2015

Operating as WOLF SPECIFIC, INC

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2015

Clinic/Center (License #CHIR008690 in GA)

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Initial NPI Registration & Enumeration March 29, 2012

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1013283563
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 29, 2012
Last Update: August 28, 2015

Mailing Address

1697 Vernon Rd Ste A

Lagrange, GA 302404180

Phone: 7064155245

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.