NPI 1427445279

Jennifer Wagner, MD

Practitioner Pediatrics Physician Clover, SC

Practice location

Address: 534 Nautical Dr STE 2, Clover, SC 29710-8182
Phone: (803) 619-4121
Fax: (803) 965-3119

Registered specialties (3)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 96214 (SC)

Other Pediatrics providers in South Carolina →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 2026-00005 (NC)

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 57147 (TN)

Registry record

NPI: 1427445279
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Apr 2015
Record last updated: 8 Jan 2026

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.