Wagner, Sanna Rose

Wagner, Sanna Rose is an individual health care provider with primary practice located at 1525 Chattanooga Rd , Dalton GA 30720-8379. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Wagner, Sanna Rose can be contacted via phone (706) 226-3373.

Contact Information

Primary practice address
1525 Chattanooga Rd Dalton GA 30720-8379
Phone: (706) 226-3373
Fax: (706) 226-0845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R039268 Georgia

Profile Details

NPI number 1013053222
LBN Legal business name Wagner, Sanna Rose
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jan 4th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013053222 NPPES
Georgia MEDICAID 00369619A

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