SHAWN STEPHENS WAGNER

COLUMBIA, SC
NPI1356984751
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: SC  1356984751)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-10-18
Last Update Date2020-09-08
Business Address
SHAWN STEPHENS WAGNER
1333 TAYLOR ST STE 1C
COLUMBIA, SC 29201-2944
Phone number: 803-254-6391
Mailing Address
SHAWN STEPHENS WAGNER
1333 TAYLOR ST STE 1C
COLUMBIA, SC 29201-2944
Phone number: 803-254-6391