Mr. Ethan Jacob Wajswol, MD5/18/2020
Mr. Ethan Jacob Wajswol, MD5/18/2020 is an Urology in Canton, Georgia. Graduated from Rutgers New Jersey Medical School in 2020, 6 years ago. Practices with Mayo Clinic Jacksonville, a 1,581-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 6
- Trained at
- Rutgers New Jersey Medical School
- Licensed in
- GA
- In the registry since
- 2020
Practice location Address checks out
470 Northside Cherokee Blvd Ste 201Canton, GA 30115-8029
Phone: (770) 720-7246
Fax: (770) 720-4620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence 99892 (GA) |
|---|
Record details
| NPI number | 1366076945 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD5/18/2020 |
| Sole proprietor | No |
| NPI enumerated | February 24, 2020 |
| Last updated in NPPES | June 26, 2025 |
| Certification date | June 26, 2025 |
Medicare enrollment
| Medicare specialty | UROLOGY |
|---|---|
| Medical school | RUTGERS NEW JERSEY MEDICAL SCHOOL |
| Graduated | 2020 (6 years in practice) |
| Group practice | Mayo Clinic Jacksonville — 1581 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Canton
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Georgia Urology, PA
470 Northside Cherokee Blvd Ste 210, Canton, GA 30115-8029 · (770) 720-7246
-
Georgia Urology, PA
100 Liberty Blvd Ste 230, Canton, GA 30114-2852 · (770) 720-7246
-
Georgia Urology, PA
100 Liberty Blvd Ste 240, Canton, GA 30114-2852 · (770) 720-7246
-
Wesley Warren Ludwig, MD
145 Riverstone Ter Ste 101, Canton, GA 30114-5327 · (770) 720-7246