Victoria Wagner

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5122 Issued in SC

Practice address

140 Sage Creek Way
Greer, SC 29650-0957

Phone

(864) 848-0640

NPI assigned

Sep 23, 2026

Last updated

Sep 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1558274449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 HUNTERS BROOK DR",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165179",
            "telephone_number": "864-848-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SAGE CREEK WAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296500957",
            "telephone_number": "864-848-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "5122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julie Watts Waddell
• Cassidy Lee Wagner, OTR/L
• Sarah Abrams Wagner, PHARMD.
• Wal-Mart Stores East LP (WalMart Pharmacy 10-4145)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2687)
• Wal-Mart Stores East, LP (Vision Center 30-2687)
• Walgreen Co (Rite Aid)
• Walgreen Co (Associate Family Pharmacy)

• Chiropractor in Greer, SC
• Providers in Greer, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.