DR. Jess Bruce Wagner, M.D.
NPI #1942301593 in Port Royal, South Carolina
Provider Information
- NPI Number
- 1942301593
- Entity Type
- Individual
- Name
- DR. Jess Bruce Wagner, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- M.D.
- Enumeration Date
- Sep 26, 2006
- Last Updated
- Oct 2, 2024
Practice Location
- Address
- 1320 RIBAUT RD
- City
- Port Royal
- State
- South Carolina
- ZIP Code
- 29935-1118
- Phone
- (843) 986-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
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