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1144789298
JOHN DAVID WAGNER
ATLANTA, GA
NPI
1144789298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-18
Last Update Date
2022-08-03
Business Address
JOHN DAVID WAGNER MD
2835 BRANDYWINE RD STE 400
ATLANTA, GA 30341-5540
Phone number: 713-790-9401
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Mailing Address
JOHN DAVID WAGNER MD
2835 BRANDYWINE RD STE 400
ATLANTA, GA 30341-5540
Phone number:
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