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1730168832
RUSSELL G WAGNER
SNELLVILLE, GA
NPI
1730168832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 033740)
Enumeration Date
2006-01-17
Last Update Date
2013-12-23
Business Address
-- RUSSELL G WAGNER M.D.
2160 FOUNTAIN DR SUITE D
SNELLVILLE, GA 30078-7022
Phone number: 770-982-7790
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Mailing Address
-- RUSSELL G WAGNER M.D.
2160 FOUNTAIN DR SUITE D
SNELLVILLE, GA 30078
Phone number: 770-982-7790
Copy
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