Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heather Wagner

Individual provider Physician Assistant · NPI 1336903319

Heather Wagner is a Physician Assistant in Canton, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2024

Practice location Address checks out

470 Northside Cherokee Blvd Ste 201
Canton, GA 30115-8029
Phone: (770) 720-7246
Fax: (770) 720-4620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12364 (GA)

Record details

NPI number1336903319
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 9, 2024
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address1930 Brannan Rd, McDonough, GA 30253-4310

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