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Individual
REBECCA LEIGH WAGSTAFF
Active
Individual
REBECCA LEIGH WAGSTAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25607
SC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
203441
LA
208M00000X
Hospitalist Physician
203441
LA
Other
Enumeration date
05/05/2006
Last updated
01/12/2021
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