SearchGeorgia146M00000X

Stacey Waggoner, EMT-A

NPI 1174146732 · on the registry since 2020

Practice

Address
4 Valley Stream Ln
Newnan, GA 30263
Phone
(678) 378-3195
Organisation at this address
Toodocs, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
146M00000X
146M00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-05-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia