ELIVIA WAGNER

ATLANTA, GA
NPI1043095573
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: GA  11962)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2023-08-31
Last Update Date2023-10-09
Business Address
ELIVIA WAGNER PA-C
550 PEACHTREE ST NE
ATLANTA, GA 30308-2212
Phone number: 404-686-4411
Mailing Address
ELIVIA WAGNER PA-C
550 PEACHTREE ST NE
ATLANTA, GA 30308-2212
Phone number: 404-686-4411