Individual
DR. ROBERT JAY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
117 KITE RD, SWAINSBORO, GA 30401-3231
(478) 289-1100
(478) 289-1300
Mailing address
PO BOX 879, SWAINSBORO, GA 30401-0879
(478) 289-1100
(478) 289-1300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
043503
GA
207P00000X
Emergency Medicine Physician
Primary
ME152768
FL
Other
Enumeration date
12/08/2006
Last updated
06/22/2023
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