Doctor Name: | WILLIAM L WAGNER |
NPI Number: | 1396882130 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 3226 |
Business Practice Address: | 303 W Birnie St Gaffney, SC - 293412307 |
Business Phone Number: | 8644880410 |
Business Fax Number: | 8644882216 |
Mailing Address: | Po Box 2068, GAFFNEY |
State: | SC |
Postal Code: | 293422068 |
Phone Number: | 8644880410 |
Fax Number: | 8644882216 |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 12/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 3226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |