Whalio Doctors

NPI 1881684207

Jeffrey M Wagner, MD

Practitioner Allergy & Immunology Physician Spartanburg, SC

Practice location

Address
98 Willow Ln, Spartanburg, SC 29307-1357
Phone
(864) 585-5552
Fax
(864) 597-0179
Mailing address
PO Box 603725, Charlotte, NC 28260-3725

Registered specialties (3)

Allergy & Immunology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence MD16033 (SC)
Allergy & Immunology Physician
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 16033 (SC)
Allergy & Immunology Physician
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 35781 (NC)

Registry record

NPI
1881684207
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Oct 2005
Record last updated
31 Oct 2023

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.