MEDICARE: JONATHAN WOOLFSON, MD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1831429281
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JONATHAN WOOLFSON, MD, PC

Provider Business Mailing Address
First Line	:	PO BOX 63174
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28263-3174
Country	:	US
Telephone Number	:	770-804-1684
Fax Number	:	770-516-8768

Provider Business Practice Location Address
First Line	:	1239 CONCORD RD SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-4310
Country	:	US
Telephone Number	:	770-435-4457
Fax Number	:	770-435-4555

Authorized Official
Title or Position	:	CEO
Name	:	JONATHAN M WOOLFSON
Credential	:	MD
Telephone Number	:	770-804-1684

Provider Enumeration Date	:	01/07/2010
Last Update Date	:	12/04/2024

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