Organization
SOUTH CAROLINA BACK PAIN & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM LOUIS WAGNER DC (PRESIDENT)
(864) 488-0410
Entity
Organization
Contact information
Practice address
303 W BIRNIE ST, GAFFNEY, SC 29341-2307
(864) 488-0410
(864) 488-2216
Mailing address
PO BOX 2068, GAFFNEY, SC 29342-2068
(864) 488-0410
(864) 488-2216
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3226
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH3226
—
SC
Enumeration date
08/25/2008
Last updated
07/21/2015
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