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1003227968
LAUREN WAGNER
MACON, GA
NPI
1003227968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 77978)
Enumeration Date
2014-05-14
Last Update Date
2020-08-19
Business Address
LAUREN WAGNER D.O.
777 HEMLOCK ST MSC 42
MACON, GA 31201-2102
Phone number: 478-633-7600
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Mailing Address
LAUREN WAGNER D.O.
777 HEMLOCK ST # 117
MACON, GA 31201-2102
Phone number: 478-633-1000
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