Individual
CAMERON DEAN WAGENBRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 CHARLIE MORRIS RD, COLBERT, GA 30628-2445
(706) 788-2127
Mailing address
PO BOX 459, COLBERT, GA 30628-0459
(706) 788-3234
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
88038
GA
Other
Enumeration date
09/11/2018
Last updated
07/06/2022
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