Wagner-Hitzeman, Jennifer Kristen

Wagner-Hitzeman, Jennifer Kristen is an individual health care provider with primary practice located at 750 Townpark Ln Nw , Kennesaw GA 30144-5579. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wagner-Hitzeman, Jennifer Kristen can be contacted via phone (404) 364-7285.

Contact Information

Primary practice address
750 Townpark Ln Nw Kennesaw GA 30144-5579
Phone: (404) 364-7285
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 053370 Georgia

Profile Details

NPI number 1720049208
LBN Legal business name Wagner-Hitzeman, Jennifer Kristen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2006
Last updated Mar 1st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720049208 NPPES
Georgia MEDICAID 864857914A

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