Joseph Wagoner

Athletic Trainer · Gaffney, SC

Individual Active NPI

NPI number 1518672641

Practice location

503 Thompson St
Gaffney, SC 29340-3619
Phone
(864) 761-6642

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NPI record

NPI
1518672641
Entity type
Individual (Type 1)
Enumeration date
January 23, 2023
Last updated
February 9, 2025
Certified
February 9, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 1675 SC
Athletic Trainer 2255A2300X 2601002742 MI

Mailing address

4042 Walloon Ln Apt 311
Spartanburg, SC 29301-6626

About Joseph Wagoner

Joseph Wagoner is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 503 Thompson St, Gaffney, SC 29340-3619. The NPI number 1518672641 was assigned on January 23, 2023 and the record was last updated on February 9, 2025.

Joseph Wagoner lists 2 licenses in the registry: #1675 (SC) for Athletic Trainer; #2601002742 (MI) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Joseph Wagoner?

The NPI number is 1518672641.

What is the phone number of Joseph Wagoner?

The phone number listed for the practice location is (864) 761-6642.

Where is Joseph Wagoner located?

503 Thompson St, Gaffney, SC 29340-3619.

What is the taxonomy code for Joseph Wagoner?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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