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1780141903
ANYTHONY W WAGNER
ATLANTA, GA
NPI
1780141903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246XS1301X Spec/Tech, Cardiovascular, Sonography
Enumeration Date
2019-02-24
Last Update Date
2019-02-24
Business Address
Mr. ANYTHONY W WAGNER
1755 THE EXCHANGE SE STE 303
ATLANTA, GA 30339-7403
Phone number: 404-981-3573
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Mailing Address
Mr. ANYTHONY W WAGNER
1464 S GORDON ST SW
ATLANTA, GA 30310-2332
Phone number: 404-252-1102
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