Doctor Name: | MISS JILL M WAGNER |
NPI Number: | 1023097516 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 9501686 |
Business Practice Address: | 306 Westwood Ave Suite 501 High Point, NC - 272624341 |
Business Phone Number: | 3368022536 |
Business Fax Number: | 3368022534 |
Mailing Address: | 1701 Westchester Dr, Suite 850 HIGH POINT |
State: | NC |
Postal Code: | 272627008 |
Phone Number: | 3368022536 |
Fax Number: | 3368022534 |
NPI Enumeration Date: | 01/12/2006 |
NPI Last Update Date: | 12/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 9501686 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |