institution
Wagoner Holdings Pa
Health Service Clinic/Center in Wake Forest, North Carolina
NPI 1679236400

Wagoner Holdings Pa is a Health Service Clinic/Center based in Wake Forest, NC and is specialized in Health Service. Wagoner Holdings Pa practices in Wake Forest, NC. The NPI Number for Wagoner Holdings Pa is 1679236400 and holds a License No. (North Carolina).

The current practice location address for Wagoner Holdings Pa is 851 Wake Forest Business Park Ste E, Wake Forest, NC and can be reached out via phone at 260-573-1249.

Location: 851 Wake Forest Business Park Ste E, Wake Forest, NC, 27587-1778
institution
Provider Profile Details
NPI Number
1679236400
Provider Name
Wagoner Holdings Pa
Credential
Provider Entity Type
Organization
Address
851 Wake Forest Business Park Ste E, Wake Forest, NC, 27587-1778
Phone Number
260-573-1249
Fax Number
Provider Enumeration Date
10/19/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5176 01 NC NC STATE CHIROPRACTIC LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
851 Wake Forest Business Park Ste E
City
State
Zip
27587-7366
Phone Number
260-573-1249
Fax Number
person
Provider Business Mailing Address Details
Address
851 Wake Forest Business Park Ste E
City
State
Zip
27587-7366
Phone Number
260-573-1249
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
()
Definition
Definition to come...
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