Wagner, Russell G

Wagner, Russell G is an individual health care provider with primary practice located at 2160 Fountain Dr Suite D, Snellville GA 30078-7022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wagner, Russell G can be contacted via phone (770) 982-7790.

Contact Information

Primary practice address
2160 Fountain Dr Suite D Snellville GA 30078-7022
Phone: (770) 982-7790
Fax: (770) 982-7795
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 033740 Georgia

Profile Details

NPI number 1730168832
LBN Legal business name Wagner, Russell G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Dec 23rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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