MARTHA LAINE WAGONER, FNP
Nursing at Otranto Blvd, Charleston, SC

License number
South Carolina 19800
Category
Nursing
Type
Family
Address
Address
2102 Otranto Blvd, Charleston, SC 29406
Phone
(843) 569-2225
(731) 610-6718
National Provider ID: 1497129563
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Martha D Wagoner
30 Yeadon Ave, Charleston, SC 29407
(843) 556-7779
Martha D Wagoner, age 84
8 Blaine Ct, Charleston, SC 29407
(843) 556-7779

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