MS. RANDI WAGNER, PA-C
Physician Assistant
Active
Individual
NPI: 1417411349
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 4258 (TN) |
Frequently Asked Questions
NPI 1417411349 is the National Provider Identifier for MS. RANDI WAGNER, PA-C, a Physician Assistant provider located in Chattanooga, TN. This NPI was enumerated on January 24, 2019.
MS. RANDI WAGNER, PA-C practices at 10 GLENRON ST, Chattanooga, TN 37415.
Quick Facts
- NPI
- 1417411349
- Type
- Individual
- Enumerated
- Jan 24, 2019
- Last Updated
- Sep 4, 2024
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