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Laura Waggoner
NPI 1316344377 · on the registry since 2014
Practice
- Address
- 1672 Tank Rd
Odum, GA 31555 - Phone
- (912) 424-0513
Registry record
- Primary taxonomy
- 2471M2300X
2471M2300X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-11-19
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