Martha Laine Wagoner, FNP is a family nurse practitioner in North Charleston, SC. Martha Laine Wagoner, FNP NPI is 1497129563. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2102 OTRANTO BLVD
NORTH CHARLESTON, SC
ZIP 29406-841
Phone: (843) 569-2225
The enumeration date for this NPI number is 11/30/2015 and was last updated on 11/30/2015.