KRISTA TERESE WAGONER

CHARLESTON, SC
NPI1619238359
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: SC  LL 34683)
Enumeration Date2012-05-30
Last Update Date2016-06-17
Business Address
-- KRISTA TERESE WAGONER M.D.
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-7108
Mailing Address
-- KRISTA TERESE WAGONER M.D.
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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