Individual
MS. LINDSAY ANNE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000
Mailing address
10103 CIPOLLINI ST, GREENVILLE, SC 29615-4291
(828) 788-0572
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
258646
SC
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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