Christy Wagner, MD
Family Medicine in Gainesville, GA. Individual provider (NPI-1).
NPI number1790778033
StatusActive
Last updated in NPPESOct 13, 2020
Details
- NPI
- 1790778033
- Entity type
- Individual (NPI-1)
- Name
- Christy Wagner
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2005
- Certification date
- Oct 13, 2020
- Last updated
- Oct 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 050067 | GA | Yes |
Practice location
1856-14 Thompson Bridge RdGainesville, GA 30501-1663
Phone 770-534-2800 · Fax 770-534-2889
Mailing address
Po Box 742616Atlanta, GA 30374-2616
Phone 770-219-8420 · Fax 770-219-8440
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