Individual provider · Type 1 NPI

William Van Wagstaff

Diagnostic Radiology Physician · Atlanta, GA

NPI number 1790219756 Active

Practice location

1984 Peachtree Rd NW Ste 505
Atlanta, GA 30309-5219

Mailing address

PO Box 2326
Indianapolis, IN 46206-2326

Other practice locations

  • 1215 Lee St, Charlottesville, VA 22908-0816 · (434) 924-3627

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202X94776 (GA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1790219756

William Van Wagstaff's National Provider Identifier is 1790219756, issued on Apr 17, 2017. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Atlanta, GA. The record was last updated on Jun 21, 2023.