Individual
GEORGE C WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2930 TREE SWALLOW RD, ROANOKE, VA 24018-5024
(540) 354-3159
Mailing address
2930 TREE SWALLOW RD, ROANOKE, VA 24018-5024
(540) 354-3159
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101051795
VA
Other
Enumeration date
01/30/2006
Last updated
02/08/2013
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