Individual
DR. BRETT D WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 W MEETING ST, LANCASTER, SC 29720-2202
(803) 286-1479
(803) 286-1369
Mailing address
8000 ROCKY VIEW RD, BELMONT, NC 28012-6740
(704) 266-4179
(727) 507-3618
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
538
SC
Other
Enumeration date
05/20/2006
Last updated
07/09/2007
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