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Individual

DEVIN WAGENMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1355 ROSWELL RD STE 152, MARIETTA, GA 30062-9058
(678) 809-0154
Mailing address
1355 ROSWELL RD STE 152, MARIETTA, GA 30062-9058
(678) 809-0154

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH13821
FL
111N00000X
Chiropractor
Primary
CHIR010928
GA

Other

Enumeration date
12/02/2021
Last updated
09/20/2023
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