Individual
MS. SANNA ROSE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1525 CHATTANOOGA RD, DALTON, GA 30720-8379
(706) 226-3373
(706) 226-0845
Mailing address
1525 CHATTANOOGA RD, DALTON, GA 30720-8379
(706) 226-3373
(706) 226-0845
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R039268
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00369619A
—
GA
Enumeration date
01/29/2007
Last updated
01/04/2011
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