Clarence Wagoner, CRNA

NPI 1235126400 · on the registry since 2005

Practice

Address: 401 N. Main St.
Kenansville, NC 28349
Phone: (910) 296-2608
Fax: (910) 296-1174
Organisation at this address: Duplin General Hospital
Duplin General Hospital, Inc
Carolina East Home Care & Hospice
Golden Grove Emergency Physicians
Duplin General Hospital Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 30

Registry record

Primary taxonomy: 367500000X
367500000X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-08-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina