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Organization
SCOTT WAGNER INTEGRATED MEDICINE LLC
Active
Organization
SCOTT WAGNER INTEGRATED MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT BRIAN WAGNER DC (AUTHORIZED OFFICIAL)
(434) 978-4888
Entity
Organization
Contact information
Practice address
2109 INDIA RD, CHARLOTTESVILLE, VA 22901-2886
(434) 978-4888
Mailing address
2109 INDIA RD, CHARLOTTESVILLE, VA 22901-2886
(434) 978-4888
(434) 978-3633
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/20/2023
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