Individual provider · Type 1 NPI

Mariah M. Wagner, PA-C

Physician Assistant · Johnson City, TN

NPI number 1407329246 Active

Practice location

2410 Susannah St
Johnson City, TN 37601-1748

Call (423) 282-9011 Map

Fax (423) 282-0035

Other practice locations

  • 875 Larry Neil Way, Kingsport, TN 37660-6368 · (423) 282-9011
  • 340 Steeles Rd, Bristol, TN 37620 · (423) 282-9011

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X3690 (TN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407329246

Mariah M. Wagner, PA-C's National Provider Identifier is 1407329246, issued on Jan 4, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Johnson City, TN. The record was last updated on Oct 14, 2020.