Individual
DEBRA ANN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200500395
NC
207R00000X
Internal Medicine Physician
Primary
32275
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322751
—
SC
05
—
89139NW
—
NC
Enumeration date
02/07/2006
Last updated
12/14/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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