Dylan Paul Wagner, PA
Dylan Paul Wagner, PA is a Physician Assistant in Laurel, Mississippi. Qualified in 2012, 14 years ago. Practices with Hattiesburg Clinic PA, a 530-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 14
- Licensed in
- MS
- In the registry since
- 2012
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
2313 Highway 15 NLaurel, MS 39440-1805
Phone: (601) 649-2775
Fax: (601) 649-2686
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 00172 (MS) |
|---|
Record details
| NPI number | 1992058556 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | October 19, 2012 |
| Last updated in NPPES | July 23, 2020 |
| Certification date | July 23, 2020 |
| Mailing address | 415 S 28th Ave, Hattiesburg, MS 39401-7246 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Hattiesburg Clinic Pa — 530 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Laurel
-
Mr. Alan Bryson, PA
1440 Jefferson St, Laurel, MS 39440-4243 · (601) 428-0577
-
Mrs. Tiffany Edwards Keith, MHS, PA-C
1220 Jefferson St, Laurel, MS 39440-4355 · (601) 426-4000