Individual
MR. ANYTHONY W WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1755 THE EXCHANGE SE STE 303, ATLANTA, GA 30339-7403
(404) 981-3573
Mailing address
1464 S GORDON ST SW, ATLANTA, GA 30310-2332
(404) 252-1102
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
—
Other
Enumeration date
02/24/2019
Last updated
02/24/2019
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