Individual
DR. CHAD RICHARD WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
115 SOUTHPORT RD STE B, SPARTANBURG, SC 29306-3814
(864) 804-6612
(864) 488-2216
Mailing address
PO BOX 2068, GAFFNEY, SC 29342-2068
(864) 414-5903
(864) 488-0410
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3296
SC
Other
Enumeration date
11/08/2007
Last updated
06/22/2016
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