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Charlotte Wagoner

NPI 1497343271 · on the registry since 2021

Practice

Address
40 Cedar Lane
Fort Ashby, WV 26719
Phone
(304) 298-4990
Fax
(304) 788-6363

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-06

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 West Virginia