person
John David Wagner, MD
Student in an Organized Health Care Education/Training Program in Atlanta, Georgia
NPI 1144789298

John David Wagner is a Student in an Organized Health Care Education/Training Program based in Atlanta, GA. John David Wagner practices in Atlanta, GA and has the professional credentials of MD. The NPI Number for John David Wagner is 1144789298 and holds a License No. (Georgia).

The current practice location address for John David Wagner is 2835 Brandywine Rd Ste 400, Atlanta, GA and can be reached out via phone at 713-790-9401.

Location: 2835 Brandywine Rd Ste 400, Atlanta, GA, 30341-5540
person
Provider Profile Details
NPI Number
1144789298
Provider Name
John David Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2835 Brandywine Rd Ste 400, Atlanta, GA, 30341-5540
Phone Number
713-790-9401
Fax Number
Provider Enumeration Date
03/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2835 Brandywine Rd Ste 400
City
State
Zip
30341-5540
Phone Number
713-790-9401
Fax Number
person
Provider Business Mailing Address Details
Address
2835 Brandywine Rd Ste 400
City
State
Zip
30341-5540
Phone Number
713-790-9401
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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