Individual provider · Type 1 NPI

Evan Jonathon Wagoner, DC

Chiropractor · Wake Forest, NC

NPI number 1710507488 Active

Practice location

1408 Woodland Hills Trl, Apt 204
Wake Forest, NC 27587-1778

Call (260) 573-1249 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5176 (NC)

Chiropractor: 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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About NPI 1710507488

Evan Jonathon Wagoner, DC's National Provider Identifier is 1710507488, issued on Apr 22, 2020. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Wake Forest, NC. The record was last updated on Oct 26, 2021.