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1972955623
ALEXANDER MORSE WAGNER
COLUMBIA, SC
NPI
1972955623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080S0010X Pediatrics, Sports Medicine
(Licence: SC 39761)
Enumeration Date
2016-07-06
Last Update Date
2023-09-22
Business Address
ALEXANDER MORSE WAGNER M.D.
2 MEDICAL PARK RD STE 104
COLUMBIA, SC 29203-6839
Phone number: 803-434-7832
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Mailing Address
ALEXANDER MORSE WAGNER M.D.
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-7033
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