Dr Virginia Wagner, MD | |
3310 Magnolia St, Orangeburg, SC 29115-1466 | |
(803) 531-6900 | |
(803) 531-6907 |
Full Name | Dr Virginia Wagner |
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Gender | Female |
Speciality | Pediatrics |
Location | 3310 Magnolia St, Orangeburg, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588684609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 15100 (South Carolina) | Primary |
Entity Name | Kershaw Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033593454 PECOS PAC ID: 6608176987 Enrollment ID: O20151119000104 |
Entity Name | Musc Community Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
Mailing Address | Practice Location Address |
---|---|
Dr Virginia Wagner, MD 3310 Magnolia St, Orangeburg, SC 29115-1466 Ph: (803) 531-6900 | Dr Virginia Wagner, MD 3310 Magnolia St, Orangeburg, SC 29115-1466 Ph: (803) 531-6900 |
Dr. Ben C Pendarvis Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 940 Holly St Ne, Orangeburg, SC 29115 Phone: 803-536-2725 Fax: 803-534-1441 | |
Tanya Am Nanongkhai, Pediatrics Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 Fax: 803-531-6907 | |
Dr. Sandra Stephens, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 Fax: 803-531-6907 | |
Brigitte Jahoor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 Fax: 803-531-6907 | |
Sandra Siatkowski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1995 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-928-5525 | |
Dr. Thomas B. Gue, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 940 Holly St Ne, Orangeburg, SC 29115 Phone: 803-536-2725 Fax: 803-534-1441 |