Individual
DANIEL JOHN WAGDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
60 EXCHANGE ST STE B7, RICHMOND HILL, GA 31324-7646
(912) 756-2273
Mailing address
60 EXCHANGE ST STE B7, RICHMOND HILL, GA 31324-7646
(912) 756-2273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
028458
NY
Other
Enumeration date
07/01/2022
Last updated
02/07/2024
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