Carol L Wagner
MD | Pediatric Neonatal-Perinatal Medicine | Female
Carol L Wagner, MD is a Charleston, South Carolina based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Carol L Wagner is
171 Ashley Ave, Charleston, South Carolina - 29425-0001. She can be contacted on phone at
843-792-1414.
Carol L Wagner is a sole proprietor of her business.
NPI number (Unique professional ID) for Carol L Wagner is
1568570414 which was assigned by NPPES on 29 Aug, 2006 and it was last updated on 22 Oct, 2020.
Carol L Wagner license number is
16190 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in South Carolina.
Carol L Wagner is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Carol L Wagner basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Carol L Wagner |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Carol L Wagner address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 171 Ashley Ave
Charleston, SC, 29425-0001
United States |
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| Phone Number : | 843-792-1414 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1568570414 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Aug, 2006 |
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| Last Updated On : | 22 Oct, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carol L Wagner are as mentioned. Primary taxonomy code for Carol L Wagner, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 16190 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Carol L Wagner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 161906 | MEDICAID | SC | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | cwagner8472@direct.musc.edu
| No affiliation | DIRECT
Direct
|
| 171 ASHLEY AVE,
CHARLESTON, SC, 29425-0001
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 751461
Charlotte, NC, 28275-1461
United States |
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| Phone Number : | 843-792-6200 |
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Business Location:
Patients can refer following map for directions to
Carol L Wagner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.