Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Timothy R. Wagner, MD

Individual provider Orthopaedic Surgery Physician · NPI 1306899539

Dr. Timothy R. Wagner, MD is an Orthopaedic Surgery Physician in Lake City, South Carolina. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

330 Mercy St
Lake City, SC 29560
Phone: (843) 374-6431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 29577 (KY)

Record details

NPI number1306899539
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESJanuary 28, 2014

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