Individual
MRS. MUNA ELIZABETH WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(844) 724-4673
(706) 217-2054
Mailing address
203 FORREST PARK RD, DALTON, GA 30721
(706) 259-3712
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-NP155078
GA
363LF0000X
Family Nurse Practitioner
RN155078NP
GA
Other
Enumeration date
02/06/2007
Last updated
11/04/2025
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