NPI 1588684609

Virginia Wagner, MD

Practitioner Pediatrics Physician Orangeburg, SC

Practice location

Address: 3310 Magnolia St, Orangeburg, SC 29115-1466
Phone: (803) 531-6900
Fax: (803) 531-6907

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 15100 (SC)

Other Pediatrics providers in South Carolina →

Registry record

NPI: 1588684609
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2006
Record last updated: 9 Jul 2007

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.