Individual
ANNE WILSON WAGSTAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 SAM PERRY BLVD STE 280, FREDERICKSBURG, VA 22401-8400
(407) 419-2005
Mailing address
625 19TH STREET SOUTH, BIRMINGHAM, AL 35249
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101274454
VA
207R00000X
Internal Medicine Physician
38982
AL
Other
Enumeration date
04/10/2018
Last updated
06/28/2023
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