Jennifer Kristen Wagner-hitzeman
MD | Pediatrics | Female
Jennifer Kristen Wagner-hitzeman, MD is a Kennesaw, Georgia based Pediatric doctor with medical specialization in
General Pediatrics. Jennifer Kristen Wagner-hitzeman is also known as
Jennifer Kristen Wagner.
Current practice location of Jennifer Kristen Wagner-hitzeman is
750 Townpark Ln Nw, Kennesaw, Georgia - 30144-5579. She can be contacted on phone at
404-364-7285.
Jennifer Kristen Wagner-hitzeman is a sole proprietor of her business.
NPI number (Unique professional ID) for Jennifer Kristen Wagner-hitzeman is
1720049208 which was assigned by NPPES on 01 Apr, 2006 and it was last updated on 01 Mar, 2022.
Jennifer Kristen Wagner-hitzeman license number is
053370 for Pediatrics (208000000X) in Georgia.
Jennifer Kristen Wagner-hitzeman is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jennifer Kristen Wagner-hitzeman basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jennifer Kristen Wagner-hitzeman |
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| Other Name : | Jennifer Kristen Wagner |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Jennifer Kristen Wagner-hitzeman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 750 Townpark Ln Nw
Kennesaw, GA, 30144-5579
United States |
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| Phone Number : | 404-364-7285 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1720049208 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Apr, 2006 |
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| Last Updated On : | 01 Mar, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Kristen Wagner-hitzeman are as mentioned. Primary taxonomy code for Jennifer Kristen Wagner-hitzeman, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 053370 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Jennifer Kristen Wagner-hitzeman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 864857914A | MEDICAID | GA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | Carequality
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | No affiliation | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 750 TOWNPARK LN NW,
KENNESAW, GA, 30144-5579
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3495 Piedmont Rd Ne, Nine Piedmont Center
Atlanta, GA, 30305-1717
United States |
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| Phone Number : | 404-504-5678 |
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Business Location:
Patients can refer following map for directions to
Jennifer Kristen Wagner-hitzeman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.