SearchSouth CarolinaPediatrics Physician

Jennifer Wagner, M.D

NPI 1427445279 · on the registry since 2015

Practice

Address
534 Nautical Dr Ste 2
Clover, SC 29710
Phone
(803) 619-4121
Fax
(803) 965-3119
Organisation at this address
Lake Wylie Pediatric Dentistry, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Pediatrics Physician
208000000X
Also registered as
Pediatrics Physician
Pediatrics Physician
Licence states on file
NC, SC, TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-08

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 South Carolina