Individual provider · Type 1 NPI

Krista Terese Wagoner, MD

Obstetrics & Gynecology Physician · Charleston, SC

NPI number 1619238359 Active

Practice location

171 Ashley Ave
Charleston, SC 29425-8908

Call (843) 792-7108 Map

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XLL 34683 (SC)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1619238359

Krista Terese Wagoner, MD's National Provider Identifier is 1619238359, issued on May 30, 2012. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Charleston, SC. The record was last updated on Jun 17, 2016.