Individual
JAMES LANDIS WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7000
Mailing address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0000018100
TN
207P00000X
Emergency Medicine Physician
ME121944
FL
Other
Enumeration date
06/13/2010
Last updated
01/30/2019
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