Healthcare Provider Details

I. General information

NPI: 1235160714
Provider Name (Legal Business Name): JAMES FRANCIS WOJCIK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 11/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 MEMORIAL DR
DALTON GA
30720-2529
US

IV. Provider business mailing address

PO BOX 636019
CINCINNATI OH
45263-6019
US

V. Phone/Fax

Practice location:
  • Phone: 706-278-2105
  • Fax: 865-291-3228
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number030928
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: