Wagner, Casey

Wagner, Casey is an individual health care provider with primary practice located at 7813 Spivey Station Blvd Ste 220 , Jonesboro GA 30236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Wagner, Casey can be contacted via phone (404) 778-3350.

Contact Information

Primary practice address
7813 Spivey Station Blvd Ste 220 Jonesboro GA 30236
Phone: (404) 778-3350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 82480 Georgia
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X E9863 Arkansas

Profile Details

NPI number 1306108279
LBN Legal business name Wagner, Casey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2012
Last updated Aug 12th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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