Physician Assistant, Medical
DYLAN WAGNER PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1992058556 · enumerated 2012-10-19 · record updated 2020-07-23. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 2313 HIGHWAY 15 N, LAUREL, MS, 39440-1805 (601) 649-2775 Fax (601) 649-2686 Google Maps Apple Maps OpenStreetMap
- Mailing address 415 S 28TH AVE, HATTIESBURG, MS, 39401-7246 (601) 649-2775 Fax (601) 579-5240 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · Primary · License 00172 MS
In this directory
Locations and evidence
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Practice location
LAUREL, MS, 394401805
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.