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Dr. Evan Jonathon Wagoner, DC
Chiropractor in Wake Forest, North Carolina
NPI 1710507488

Evan Jonathon Wagoner is a Chiropractor based in Wake Forest, NC. Evan Jonathon Wagoner practices in Wake Forest, NC and has the professional credentials of DC. The NPI Number for Evan Jonathon Wagoner is 1710507488 and holds a License No. 5176 (North Carolina).

The current practice location address for Evan Jonathon Wagoner is 1408 Woodland Hills Trl, Wake Forest, NC and can be reached out via phone at 260-573-1249.

Location: 1408 Woodland Hills Trl, Wake Forest, NC, 27587-1778
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710507488
Provider Name
Evan Jonathon Wagoner
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1408 Woodland Hills Trl, Wake Forest, NC, 27587-1778
Phone Number
260-573-1249
Fax Number
Provider Enumeration Date
04/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1408 Woodland Hills Trl
City
Wake Forest
State
North Carolina
Zip
27587-1778
Phone Number
260-573-1249
Fax Number
person
Provider Business Mailing Address Details
Address
1408 Woodland Hills Trl
City
Wake Forest
State
North Carolina
Zip
27587-1778
Phone Number
260-573-1249
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
5176 (North Carolina)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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