Individual
DR. SAL J WAMBSGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2260 WRIGHTSBORO RD, AUGUSTA, GA 30904-4764
(866) 313-5266
(205) 313-5298
Mailing address
PO BOX 933049, ATLANTA, GA 31193-3049
(866) 313-5266
(205) 313-5298
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
044139
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000754993F
—
GA
05
—
G44139
—
SC
Enumeration date
06/09/2005
Last updated
09/26/2007
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