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1558352856
CARL WAGNER
MARYVILLE, TN
NPI
1558352856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: TN 19646)
Enumeration Date
2005-11-04
Last Update Date
2010-12-02
Business Address
-- CARL WAGNER MD
907 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804-5015
Phone number: 865-983-7211
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Mailing Address
-- CARL WAGNER MD
PO BOX 24776
CHATTANOOGA, TN 37422-4776
Phone number: 877-288-1799
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