Wagner, Alexander Morse

Wagner, Alexander Morse is an individual health care provider with primary practice located at 2 Medical Park Rd Ste 104 , Columbia SC 29203-6839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Wagner, Alexander Morse can be contacted via phone (803) 434-7832.

Contact Information

Primary practice address
2 Medical Park Rd Ste 104 Columbia SC 29203-6839
Phone: (803) 434-7832
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 39761 South Carolina

Profile Details

NPI number 1972955623
LBN Legal business name Wagner, Alexander Morse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2016
Last updated Sep 22nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972955623 NPPES
South Carolina MEDICAID 397617

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