Wagoner, Martha Laine
Wagoner, Martha Laine is an individual health care provider with primary practice located at 2102 Otranto Blvd , North Charleston SC 29406-9841. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wagoner, Martha Laine can be contacted via phone (843) 569-2225.Contact Information
Primary practice address
2102 Otranto Blvd
North Charleston SC 29406-9841
Phone: (843) 569-2225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 19800 | South Carolina |
Profile Details
| NPI number | 1497129563 |
|---|---|
| LBN Legal business name | Wagoner, Martha Laine |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2015 |
| Last updated | Nov 30th, 2015 - about 9 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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