Individual
ALEXANDER MORSE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 MEDICAL PARK RD STE 104, COLUMBIA, SC 29203-6839
(803) 434-7832
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
Primary
39761
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
397617
—
SC
Enumeration date
07/06/2016
Last updated
02/18/2026
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