Organization
SCOTT WAGNER INTEGRATED MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT BRIAN WAGNER DC (AUTHORIZED OFFICIAL)
(434) 978-4888
Entity
Organization
Contact information
Practice address
2109 INDIA RD, CHARLOTTESVILLE, VA 22901-2886
(434) 978-4888
Mailing address
2109 INDIA RD, CHARLOTTESVILLE, VA 22901-2886
(434) 978-4888
(434) 978-3633
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/20/2023
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