MILES WAGNER

MERIDIAN, MS
NPI1356056873
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: MS  918176)
Enumeration Date2023-01-19
Last Update Date2023-01-19
Business Address
MILES WAGNER RN
2124 14TH ST
MERIDIAN, MS 39301-4040
Phone number: 601-553-6000
Mailing Address
MILES WAGNER RN
340 LONGWOOD DR
MERIDIAN, MS 39305-8231
Phone number: 601-678-3854