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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PHILIP JON WAGNER, DC

Active

DR. PHILIP JON WAGNER, DC is a Internist (Chiropractor) healthcare provider located in BEAUFORT, South Carolina. NPI 1043296171 is currently active in the NPPES registry. Verify at CMS.

Internist (Chiropractor) · BEAUFORT, SC

Registration Details

NPI Number
1043296171
Provider Type
Individual
Gender
Male
NPI Issued
Dec 20, 2005 (20.664749897342 yrs)
Last Updated
Jul 8, 2007
License
1633 (SC)

Practice Information

Address
1 PINCKNEY BLVD
NAVAL HOSPITAL BEAUFORT ATTN PROFESSIONAL AFFAIRS
BEAUFORT, SC, 299026122
Browse SC providers · Browse ZIP 29902
Phone
8432285577
Fax
8432285196
Primary Specialty
Internist (Chiropractor)
111NI0900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.