Individual
DR. SAMANTHA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2720 METROPOLITAN PKWY SW, ATLANTA, GA 30315-7914
(404) 905-9200
(404) 815-4300
Mailing address
2720 METROPOLITAN PKWY SW, ATLANTA, GA 30315-7914
(404) 905-9200
(404) 815-4300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75943
GA
Other
Enumeration date
05/07/2013
Last updated
03/30/2023
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