Whalio Doctors

NPI 1336112614

Mark Stephen Wagner, MD

Practitioner Hospitalist Physician Seneca, SC

Practice location

Address
298 Memorial Dr, Seneca, SC 29672-9443
Phone
(864) 885-7758
Fax
(864) 885-7749
Mailing address
1 Independence PT STE 212, Greenville, SC 29615-4536

Registered specialties (2)

Hospitalist Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence 31391 (SC)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 31391 (SC)

Registry record

NPI
1336112614
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Feb 2006
Record last updated
20 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.