Individual
DR. DAVID WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2711 RANDOLPH RD, SUITE 501, CHARLOTTE, NC 28207-2027
(704) 384-8600
(704) 384-8610
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-8600
(704) 384-8610
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17453
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8985210
—
NC
Enumeration date
04/03/2006
Last updated
11/15/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us