Individual
WILLIAM DONALD WAGES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
114 VICTORY DRIVE, SWAINSBORO, GA 30401
(478) 237-4017
(478) 237-3074
Mailing address
101 FAIRVIEW PARK DRIVE, DUBLIN, GA 31021
(478) 272-7494
(478) 272-2616
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001643
GA
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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