Individual
ASHLEY M. WANAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4700 WATERS AVE STE 507, SAVANNAH, GA 31404-6220
(912) 350-4750
(912) 350-4751
Mailing address
4700 WATERS AVE, SUITE 507, SAVANNAH, GA 31404-6220
(912) 350-4750
(912) 350-4751
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN184702
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01382063
AMERIGROUP
GA
05
—
127207973A
—
GA
05
—
NP1625
—
SC
01
—
P00869902
RR MEDICARE
GA
Enumeration date
04/19/2010
Last updated
02/01/2022
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