Individual
DR. HARVEY SAMUEL WAGES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1105 BURLEYSON RD, DALTON, GA 30720-3017
(706) 278-4640
(706) 275-6599
Mailing address
1105 BURLEYSON RD, DALTON, GA 30720-3017
(706) 278-4640
(706) 275-6599
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
012017
GA
207VG0400X
Gynecology Physician
Primary
012017
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00093585A
—
GA
Enumeration date
09/26/2006
Last updated
10/11/2011
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