Individual
DR. SETH T WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1114 PROFESSIONAL BLVD, DALTON, GA 30720
(706) 278-0138
(706) 272-3780
Mailing address
1114 PROFESSIONAL BLVD, DALTON, GA 30720
(706) 278-0138
(706) 272-3780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
070602
GA
208M00000X
Hospitalist Physician
070602
GA
208M00000X
Hospitalist Physician
D02265
TN
Other
Enumeration date
05/27/2009
Last updated
02/17/2017
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