DR. Bret Bouton Wagenhorst, M.D.

NPI #1841201134 in Tifton, Georgia

Provider Information

NPI Number: 1841201134
Entity Type: Individual
Name: DR. Bret Bouton Wagenhorst, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: Aug 11, 2006
Last Updated: Mar 8, 2021

Practice Location

Address: 1803 OLD OCILLA RD
City: Tifton
State: Georgia
ZIP Code: 31794-1617
Phone: (229) 386-2181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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