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NPI Code Detail

MEDICARE: SAMANTHA WANNINGER

MEDICARE:   SAMANTHA  WANNINGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist8525SC

General Provider Information

NPI Number : 1639023716
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA WANNINGER
Provider Business Mailing Address
First Line : 9106 SWEET PL
Second Line :
City : CHARLESTON
State : SC
Zip : 29492-2848
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 75 CALHOUN ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29401-3538
Country : US
Telephone Number : 843-937-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/24/2026

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Directions to “ SAMANTHA WANNINGER ” Practice Location

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