Inice Marie Wagner

NPI #1043537152 in Madison, Tennessee

Provider Information

NPI Number: 1043537152
Entity Type: Individual
Name: Inice Marie Wagner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Management
Enumeration Date: Apr 28, 2010
Last Updated: Apr 28, 2010

Practice Location

Address: 620 GALLATIN PIKE S
City: Madison
State: Tennessee
ZIP Code: 37115-4013
Phone: (615) 460-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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