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

DR. JESS BRUCE WAGNER, M.D.

Active

DR. JESS BRUCE WAGNER, M.D. is a Internal Medicine healthcare provider located in PORT ROYAL, South Carolina. NPI 1942301593 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · PORT ROYAL, SC

Registration Details

NPI Number
1942301593
Provider Type
Individual
Gender
Male
NPI Issued
Sep 26, 2006 (19.70084284798 yrs)
Last Updated
Oct 2, 2024
Licenses
28789 (SC)
ME125237 (FL)

Practice Information

Address
1320 RIBAUT RD
PORT ROYAL, SC, 299351118
Browse SC providers · Browse ZIP 29935
Phone
8439860900
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in PORT ROYAL, SC

Name Credential NPI
ABNER H BAGENSTOSE III MD 1104888403
DR. ROSALIND DAWSON M.D. 1487611752
DR. MILTON RANDALL DALBOW M.D. 1972561314
AVA HUDSON M.D. 1780801282
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.