Individual
WILLIAM L WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
303 W BIRNIE ST, GAFFNEY, SC 29341-2307
(864) 488-0410
(864) 488-2216
Mailing address
PO BOX 2068, GAFFNEY, SC 29342-2068
(864) 488-0410
(864) 488-2216
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3226
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3226
LICENSE NUMBER
SC
05
—
CH3226
—
SC
Enumeration date
01/31/2007
Last updated
12/06/2013
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