Organization
SEMINOLE TOTAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT BRIAN WAGNER DC (OWNER)
(434) 978-4888
Entity
Organization
Contact information
Practice address
147 ZAN RD, CHARLOTTESVILLE, VA 22901-2858
(434) 978-4888
(434) 978-3633
Mailing address
147 ZAN RD, CHARLOTTESVILLE, VA 22901-2858
(434) 978-4888
(434) 978-3633
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0104555923
VA
Other
Enumeration date
08/07/2006
Last updated
09/08/2010
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