Ernestine Wagner, Pa, INC
NPI #1184860074 in North Tazewell, Virginia
Provider Information
- NPI Number
- 1184860074
- Entity Type
- Organization
- Organization Name
- Ernestine Wagner, Pa, INC
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Dec 23, 2008
- Last Updated
- Dec 23, 2008
Practice Location
- Address
- 29306 G C PEERY HIGHWAY
- City
- North Tazewell
- State
- Virginia
- ZIP Code
- 24630-9192
- Phone
- (276) 979-1309
Authorized Official
- Name
- MS. ERNESTINE WAGNER
- Title
- OWNER
- Phone
- (276) 979-1309
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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