MEREDITH WALL WAGNER MD - Medical Doctor License in Tennessee | # 036165930

MEREDITH WALL WAGNER MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165930

License Status

ACTIVE

Business

N

Title

MD

First Name

MEREDITH

Middle

WALL

Last Name

WAGNER

Business Name

MEREDITH WALL WAGNER MD

Original Issue Date

07/14/2023

Effective Date

07/14/2023

Expiration Date

07/31/2026

State

TN

Ever Disciplined

N

LastModifiedDate

08/03/2023