Waggoner, Laura

Waggoner, Laura is an individual health care provider with primary practice located at 1672 Tank Rd , Odum GA 31555-7108. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Mammography, which is considered as her primary health care specialty. Waggoner, Laura can be contacted via phone (912) 424-0513.

Contact Information

Primary practice address
1672 Tank Rd Odum GA 31555-7108
Phone: (912) 424-0513
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Mammography 2471M2300X 265463 Georgia

Profile Details

NPI number 1316344377
LBN Legal business name Waggoner, Laura
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2014
Last updated Nov 19th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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