Individual
KYLE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-2525
Mailing address
215 BRIGHTWATER DR, LILLINGTON, NC 27546-5156
(910) 892-1000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
6096
TN
Other
Enumeration date
04/14/2021
Last updated
10/22/2025
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