AMANDA NICOLE WAGNER

GAINESVILLE, GA
NPI1043096142
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  12940)
Enumeration Date2023-09-05
Last Update Date2025-09-15
Business Address
-- AMANDA NICOLE WAGNER PA
743 SPRING ST NE
GAINESVILLE, GA 30501-3715
Phone number: 770-219-9000
Mailing Address
-- AMANDA NICOLE WAGNER PA
PO BOX 742616
ATLANTA, GA 30374-2616
Phone number: