Individual
KRISTINA KRUG-WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSTFA
Contact information
Practice address
1 SAINT FRANCIS DR, GREENVILLE, SC 29601-3955
(864) 255-1058
(864) 679-8875
Mailing address
516 LONGVIEW TER, GREER, SC 29650-2552
(516) 617-6456
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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