Mark Stephen Wagner in Seneca - Internal Medicine
Mark Stephen Wagner - NPI 1336112614
Mark Stephen Wagner is a Internal Medicine in Seneca, South Carolina. Mark Stephen Wagner practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mark Stephen Wagner is 1336112614. The last update date is 2019-05-20.
Mark Stephen Wagner's current location address is 298 Memorial Dr, Seneca, South Carolina. You can contact this provider via phone number 8648857758 and fax number 8648857749. The mailing address for Mark Stephen Wagner is 298 Memorial Dr, Seneca, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Stephen Wagner |
|---|---|
| Address | 298 Memorial Dr, Seneca, South Carolina |
| Phone Number | 8648857758 |
| Fax Number | 8648857749 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1336112614 |
|---|---|
| Provider Enumeration Date | 2006-02-08 |
| Last Updated Date | 2019-05-20 |
Provider Mailing Address Detail
| Address | 298 Memorial Dr |
|---|---|
| City | Seneca |
| State | South Carolina (SC) |
| Post Code | 296729443 |
| Phone Number | 8648857758 |
| Fax Number | 8648857749 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 31391 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique identification code assigned to Mark Stephen Wagner by the Centers for Medicare & Medicaid Services?
The Mark Stephen Wagner has been issued the NPI (National Provider Identifier) 1336112614. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark Stephen Wagner?
The Mark Stephen Wagner is situated at 298 Memorial Dr, in the city of Seneca, state of SC, with the zip code 296729443.
What is Mark Stephen Wagner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Stephen Wagner is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336112614 to Mark Stephen Wagner?
The Centers for Medicare & Medicaid Services originally issued the 1336112614 to Mark Stephen Wagner on 2006-02-08.
As of what date were the details related to Mark Stephen Wagner most recently updated or revised?
The information pertaining to Mark Stephen Wagner, including its address, specialty, and other relevant details, was last updated or revised on 2019-05-20.
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