Russell Wagner, M.D

NPI 1730168832 · on the registry since 2006

Practice

Address: 2160 Fountain Dr
Suite D
Snellville, GA 30078
Phone: (770) 982-7790
Fax: (770) 982-7795
Organisation at this address: Jae Pak Pc
Joshua Morris
Jody Amazon Pc
Rg Wagner Md Llc
Frankel Val Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 207R00000X
207R00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-12-23

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