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Lee Shannon Wagner, MD
Family Medicine Physician in Citronelle, Alabama
NPI 1316442361

Lee Shannon Wagner is a Family Medicine Physician based in Kingston, AL. Lee Shannon Wagner practices in Citronelle, AL and has the professional credentials of MD. The NPI Number for Lee Shannon Wagner is 1316442361 and holds a License No. (Alabama).

The current practice location address for Lee Shannon Wagner is 19140 S 3Rd St, Citronelle, AL and can be reached out via phone at 251-866-0086. You can also correspond with Lee Shannon Wagner through the mailing address at 2 SHARPE STREET, KINGSTON, PA - 18704 (mailing address contact number: 570-591-5142).

Location: 19140 S 3Rd St, Citronelle, AL, 18704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316442361
Provider Name
Lee Shannon Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
19140 S 3Rd St, Citronelle, AL, 18704
Phone Number
251-866-0086
Fax Number
Provider Enumeration Date
03/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19140 S 3Rd St
City
Citronelle
State
Alabama
Zip
36522-2306
Phone Number
251-866-0086
Fax Number
person
Provider Business Mailing Address Details
Address
2 Sharpe Street
City
Kingston
State
Pennsylvania
Zip
18704
Phone Number
570-591-5142
Fax Number
570-552-8958
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
42864 (Alabama)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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