Individual
MS. RANDI LYNN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
320 STRINGER ST, CHATTANOOGA, TN 37405-3228
(855) 446-8628
Mailing address
320 STRINGER ST, CHATTANOOGA, TN 37405-3228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4258
TN
363A00000X
Physician Assistant
PA60130
CA
Other
Enumeration date
01/24/2019
Last updated
08/14/2026
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