Amanda Nicole Wagner, PA
NPI #1043096142 in Gainesville, Georgia
Provider Information
- NPI Number
- 1043096142
- Entity Type
- Individual
- Name
- Amanda Nicole Wagner, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Sep 5, 2023
- Last Updated
- Sep 15, 2025
Practice Location
- Address
- 743 SPRING ST NE
- City
- Gainesville
- State
- Georgia
- ZIP Code
- 30501-3715
- Phone
- (770) 219-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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