IndividualActive
Alexander Wagner, M.D.
NPI 1972955623 · Pediatric Sports Medicine Physician · Columbia, SC
Provider details
- NPI number
- 1972955623
- Entity type
- Individual
- Primary specialty
- Pediatric Sports Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 39761 (SC)
Practice location
2 Medical Park Rd Ste 104
Columbia, SC 29203-6839
Phone: (803) 434-7832
Mailing address
300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842
Registry dates
- Enumerated
- 2016-07-06
- Last updated
- 2026-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.