MD Jeffrey M Wagner, NPI 1881684207
Allergy & Immunology Physician in Spartanburg, SC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1881684207
NPI Entity Type Individual
Provider Name MD Jeffrey M Wagner
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 98 Willow Ln, Spartanburg, SC, US
Provider Mailing Address Dept. 453 Po Box 1000, Memphis, TN, US, 381480001
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207K00000X

Taxonomy Name Allergy & Immunology Physician
Classification

Allergy & Immunology

Group

Allopathic & Osteopathic Physicians

License No. MD16033
License State SC
Description An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Business Address

MD Jeffrey M Wagner
98 Willow Ln

Spartanburg, SC, US

Phone: 864-585-5552
Fax: 864-597-0179

Mailing Address

MD Jeffrey M Wagner
Dept. 453 Po Box 1000
Memphis, TN, US
ZIP 381480001
Phone: 828-575-2644
Fax: 828-350-2174

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207K00000X

Allopathic & Osteopathic Physicians

Allergy & Immunology

35781 NC No

207K00000X

Allopathic & Osteopathic Physicians

Allergy & Immunology

16033 SC No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2174958B NC MEDICARE PTAN 01
160337 SC MEDICAID 05
E593334292 SC MEDICARE PTAN 01
1235321233 NC MEDICAID 05

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