Wagoner, Sarah H.

Wagoner, Sarah H. is an individual health care provider with primary practice located at 112 Medical Dr , Elizabeth City NC 27909-3361. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wagoner, Sarah H. can be contacted via phone (252) 338-2151.

Contact Information

Primary practice address
112 Medical Dr Elizabeth City NC 27909-3361
Phone: (252) 338-2151
Fax: (252) 338-2505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 100350 North Carolina

Profile Details

NPI number 1235280538
LBN Legal business name Wagoner, Sarah H.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Apr 14th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235280538 NPPES
North Carolina MEDICAID 7949645

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