Organization
JAMEY P. WAGNER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMEY PAUL WAGNER D.C. (PRESIDENT)
(256) 864-8470
Entity
Organization
Contact information
Practice address
8103 HIGHWAY 72 W, SUITE C, MADISON, AL 35758-9528
(256) 864-8470
(256) 864-8470
Mailing address
8103 HIGHWAY 72 W, SUITE C, MADISON, AL 35758-9528
(256) 864-8470
(256) 864-8470
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1765
AL
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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