| Georgia Wagner, MA,RD,CD | |
|
1941 Virginia Ave, Connersville, IN 47331-2833 | |
| (765) 825-5131 | |
| (765) 827-7863 |
| Full Name | Georgia Wagner |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1941 Virginia Ave, Connersville, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295146165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 37000770A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Wagner, MA,RD,CD 1941 Virginia Ave, Connersville, IN 47331-2833 Ph: (765) 825-5131 | Georgia Wagner, MA,RD,CD 1941 Virginia Ave, Connersville, IN 47331-2833 Ph: (765) 825-5131 |
June C Chidester, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1941 Virginia Ave, Connersville, IN 47331 Phone: 765-827-7780 | |
Macie Weiler, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2824 E County Road 400 S, Connersville, IN 47331 Phone: 765-265-7753 |