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Shawn Stephens Wagner

Physician Assistant in West Columbia, SC. Individual provider (NPI-1).

NPI number1356984751
StatusActive
Last updated in NPPESMar 18, 2026

Details

NPI
1356984751
Entity type
Individual (NPI-1)
Name
Shawn Stephens Wagner
Sex
Female
Sole proprietor
No
Enumeration date
Oct 18, 2019
Certification date
Mar 18, 2026
Last updated
Mar 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant3641SCYes
390200000X Student in an Organized Health Care Education/Training Program––
2084N0400X Psychiatry & Neurology, Neurology1356984751SC

Practice location

146 E Hospital Dr Ste 140
West Columbia, SC 29169-4800

Phone 803-936-7076 · Fax 803-936-7925

Mailing address

1333 Taylor St Ste 1c
Columbia, SC 29201-2944

Phone 803-254-6391

Other practice locations

1333 Taylor St Ste 1c
Columbia, SC 29201-2944

Phone 803-254-6391

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Other Physician Assistant providers in West Columbia, SC

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