Dr Timothy R Wagner, MD - Orthopaedic Surgery in Lake City, SC

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Dr Timothy R Wagner, MD is a Orthopaedic Surgery physician based in Lake City, South Carolina. Dr Timothy R Wagner is licensed to practice in Kentucky (license number 29577) and his current practice location is 330 Mercy Street, Lake City, South Carolina. He can be reached at his office (for appointments etc.) via phone at (843) 374-6431.

NPI number for Dr Timothy R Wagner is 1306899539 and his current mailing address is 330 Mercy St, Lake City, South Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306899539.

Contact Information

Dr Timothy R Wagner, MD
330 Mercy Street,
Lake City, SC 29560
(843) 374-6431
Not Available

Map and Direction




Physician's Profile

Full NameDr Timothy R Wagner
GenderMale
SpecialityOrthopaedic Surgery
Location330 Mercy Street, Lake City, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306899539
  • Provider Enumeration Date: 05/18/2006
  • Last Update Date: 01/28/2014

Medical Identifiers

Medical identifiers for Dr Timothy R Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306899539NPI-NPPES
64295777MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 29577 (Kentucky)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Timothy R Wagner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Timothy R Wagner, MD
330 Mercy St,
Lake City, SC 29560-2332

Ph: (843) 374-6431		Dr Timothy R Wagner, MD
330 Mercy Street,
Lake City, SC 29560

Ph: (843) 374-6431

Reviews and Comments


Orthopaedic Surgery Doctors in Lake City, SC


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