NPI 1336112614
Mark Stephen Wagner, MD
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
Internal Medicine Physician
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.