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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JILL M WAGNER, MD
306 WESTWOOD AVE
SUITE 501
HIGH POINT, NC27262-4341
 Phone: 336-802-2536
 Fax: 336-802-2534
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JILL M WAGNER · (Female)

NPI Number 1023097516
Credentials MD
Entity Individual
Enumeration date 01/12/2006
Last updated 12/07/2012 - About 4 years ago
Sole proprietor 1 No
Identifiers
NC License # 9501686
NC Medicaid 8911473
NC Medicare PIN 2256586A
NC Medicare PIN 2256586B
NC Medicare UPIN G82990
Hospital affiliation(s)
  • HIGH POINT REGIONAL HOSPITAL - (Acute Care)
    601 N ELM ST
    HIGH POINT, NC 27261
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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