Individual provider · Type 1 NPI

Elivia Wagner, PA-C

Surgical Physician Assistant · Atlanta, GA

NPI number 1043095573 Active

Practice location

550 Peachtree St NE
Atlanta, GA 30308-2212

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400X11962 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1043095573

Elivia Wagner, PA-C's National Provider Identifier is 1043095573, issued on Aug 31, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Atlanta, GA. The record was last updated on Oct 9, 2023.