Individual
JENNIFER WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
534 NAUTICAL DR STE 2, CLOVER, SC 29710-8182
(803) 619-4121
(803) 965-3119
Mailing address
534 NAUTICAL DR STE 2, CLOVER, SC 29710-8182
(803) 619-4121
(803) 965-3119
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2026-00005
NC
208000000X
Pediatrics Physician
57147
TN
208000000X
Pediatrics Physician
Primary
96214
SC
Other
Enumeration date
04/20/2015
Last updated
01/08/2026
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