Individual
KRISTINA R WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1436 BROADRICK DR STE B, DALTON, GA 30720-3009
(706) 226-3434
(706) 226-4820
Mailing address
1436 BROADRICK DR STE B, DALTON, GA 30720-3009
(706) 226-3434
(706) 226-4820
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP135155
GA
Other
Enumeration date
07/11/2019
Last updated
11/04/2025
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