Individual
TRICIA FRANCISCO WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5008 SNAPFINGER WOODS DR, DECATUR, GA 30035-4003
(770) 981-0210
Mailing address
5008 SNAPFINGER WOODS DR, DECATUR, GA 30035-4003
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
91567
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
02/02/2023
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