PHILIP JON WAGNER

BEAUFORT, SC
NPI1043296171
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111NI0900X Chiropractor, Internist
(Licence: SC  1633)
Enumeration Date2005-12-20
Last Update Date2007-07-08
Business Address
Dr. PHILIP JON WAGNER DC
1 PINCKNEY BLVD NAVAL HOSPITAL BEAUFORT ATTN PROFESSIONAL AFFAIRS
BEAUFORT, SC 29902-6122
Phone number: 843-228-5577
Mailing Address
Dr. PHILIP JON WAGNER DC
1 PINCKNEY BLVD NAVAL HOSPITAL BEAUFORT ATTN PROFESSIONAL AFFAIRS
BEAUFORT, SC 29902-6122
Phone number: 843-228-5577