Individual
JOHN DAVID WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2970 BRANDYWINE RD STE 125, ATLANTA, GA 30341-5528
(713) 790-9401
Mailing address
2835 BRANDYWINE RD STE 400, ATLANTA, GA 30341-5540
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
91568
GA
Other
Enumeration date
03/18/2019
Last updated
07/17/2025
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