Individual
DR. MARCUS M WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
605 GLENWOOD DRIVE, SUITE 200, CHATTANOOGA, TN 37404-1130
(423) 698-1844
(423) 624-2226
Mailing address
PO BOX 440100, NASHVILLE, TN 37244-0100
(423) 698-1844
(423) 624-2226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN11513
FL
2085R0001X
Radiation Oncology Physician
Primary
48652
TN
Other
Enumeration date
07/03/2007
Last updated
10/30/2012
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