RUSSELL WAGNER, M.D.
Internal Medicine
Active
Individual
NPI: 1730168832
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | 033740 (GA) |
Frequently Asked Questions
NPI 1730168832 is the National Provider Identifier for RUSSELL WAGNER, M.D., a Internal Medicine provider located in Snellville, GA. This NPI was enumerated on January 17, 2006.
RUSSELL WAGNER, M.D. practices at 2160 FOUNTAIN DR, SUITE D, Snellville, GA 30078.
Quick Facts
- NPI
- 1730168832
- Type
- Individual
- Enumerated
- Jan 17, 2006
- Last Updated
- Dec 23, 2013
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