Wagner, Christy
Wagner, Christy is an individual health care provider with primary practice located at 1856-14 Thompson Bridge Rd , Gainesville GA 30501-1663. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wagner, Christy can be contacted via phone (770) 534-2800.Contact Information
Primary practice address
1856-14 Thompson Bridge Rd
Gainesville GA 30501-1663
Phone: (770) 534-2800
Fax: (770) 534-2889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 050067 | Georgia |
Profile Details
| NPI number | 1790778033 |
|---|---|
| LBN Legal business name | Wagner, Christy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Oct 13th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790778033 | NPPES |
| Georgia | MEDICAID | 000907409B |
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