JACOB LEWIS WAGNER

DURHAM, NC
NPI1356922959
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: NC  2025-04156)
Enumeration Date2021-04-16
Last Update Date2026-06-18
Business Address
Dr. JACOB LEWIS WAGNER DO
2301 ERWIN RD
DURHAM, NC 27705-4699
Phone number: 919-684-8111
Mailing Address
Dr. JACOB LEWIS WAGNER DO
PO BOX 63362
CHARLOTTE, NC 28263-3362
Phone number: 919-684-8111
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