Roberta Wagner, R.N

NPI 1700015781 · on the registry since 2009 · sole proprietor

Practice

Address: 4331 Thurmon Tanner Rd
Flowery Branch, GA 30542
Phone: (678) 513-5700
Organisation at this address: Avita Community Partners
Avita Community Partners
Georgia Mountain Community Services
Georgia Mountains Community Services
Georgia Mountains Community Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 163W00000X
163W00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia