Dr. David Wagoner
M.D. | Pediatrics | Male
Dr. David Wagoner, M.D. is a Charlotte, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. David Wagoner is
2711 Randolph Rd, Suite 501, Charlotte, North Carolina - 28207-2027. He can be contacted on phone at
704-384-8600 and fax number 704-384-8610.
Dr. David Wagoner is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. David Wagoner is
1447212907 which was assigned by NPPES on 03 Apr, 2006 and it was last updated on 15 Nov, 2010.
Dr. David Wagoner license number is
17453 for Pediatrics (208000000X) in North Carolina.
Dr. David Wagoner is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. David Wagoner basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. David Wagoner |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. David Wagoner 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 : | 2711 Randolph Rd, Suite 501
Charlotte, NC, 28207-2027
United States |
|---|
| Phone Number : | 704-384-8600 |
|---|
| Fax Number : | 704-384-8610 |
|---|
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 : | 1447212907 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 03 Apr, 2006 |
|---|
| Last Updated On : | 15 Nov, 2010 |
|---|
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 Dr. David Wagoner are as mentioned. Primary taxonomy code for Dr. David Wagoner, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 17453 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. David Wagoner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8985210 | MEDICAID | NC | |
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 60447
Charlotte, NC, 28260-0447
United States |
|---|
| Phone Number : | 704-384-8600 |
|---|
| Fax Number : | 704-384-8610 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. David Wagoner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.