ERNESTINE WAGNER, PA, INC

NORTH TAZEWELL, VA
NPI1184860074
Entity TypeOrganization
Authorized ContactERNESTINE WAGNER
Owner
276-979-1309
Organization Subpart ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110001577)
Enumeration Date2008-12-23
Last Update Date2008-12-23
Business Address
ERNESTINE WAGNER, PA, INC
29306 G C PEERY HIGHWAY
NORTH TAZEWELL, VA 24630-9192
Phone number: 276-979-1309
Mailing Address
ERNESTINE WAGNER, PA, INC
29306 G C PEERY HIGHWAY
NORTH TAZEWELL, VA 24630-9192
Phone number: