Individual
GORDON R WAGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 LINER DR, GREENWOOD, SC 29646-2310
(864) 227-1115
Mailing address
104 LINER DR, GREENWOOD, SC 29646-2310
(864) 227-1115
(864) 227-2046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
88395
SC
Other
Enumeration date
03/20/2019
Last updated
08/08/2023
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