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1548275415
RG WAGNER MD LLC
SNELLVILLE, GA
NPI
1548275415
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Entity Type
Organization
Authorized Contact
RUSSELL G WAGNER
M.D.
770-982-7790
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-07-29
Last Update Date
2009-07-20
Business Address
RG WAGNER MD LLC
2160 FOUNTAIN DR SUITE D
SNELLVILLE, GA 30078-7022
Phone number: 770-982-7790
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Mailing Address
RG WAGNER MD LLC
2160 FOUNTAIN DR SUITE D
SNELLVILLE, GA 30078-7022
Phone number: 770-982-7790
Copy
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