JEFFREY M WAGNER MD

Allergy and Immunology

Spartanburg, South Carolina

Provider NPI: 1881684207

Provider Information:
 JEFFREY M WAGNER MD


Practice Location:
98 WILLOW LN  SPARTANBURG, SC 29307 US
Tel: 864-585-5552  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	207K00000X	Physicians Allergy & Immunology	NC	35781
Y	207K00000X	Physicians Allergy & Immunology	SC	16033

Other Provider Identifiers:

Issuer	Number	State	Type
MEDICARE PTAN	E593334292	SC	01
MEDICARE PTAN	2174958B	NC	01
AETNA	6554	SC	01
BCBS	85201	NC	01
	8985201	NC	05
AMERIGROUP	1068814	SC	01
MEDCOST	56220	SC	01
	160337	SC	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

© Coconut Island Software -- Go Mobile Today!
     contact      copyright stuff      privacy policy           Job Search by

Mobile Websites reach people who are On The Move!    >>  Call Now 805.225.4509