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Dr. Stacey Waggoner, EMT-A
Intermediate Emergency Medical Technician in Newnan, Georgia
NPI 1174146732

Stacey Waggoner is a Intermediate Emergency Medical Technician based in Newnan, GA. Stacey Waggoner practices in Newnan, GA and has the professional credentials of EMT-A. The NPI Number for Stacey Waggoner is 1174146732 and holds a License No. A001035 (Georgia).

The current practice location address for Stacey Waggoner is 4 Valley Stream Ln, Newnan, GA and can be reached out via phone at 678-378-3195.

Location: 4 Valley Stream Ln, Newnan, GA, 30263-2912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174146732
Provider Name
Stacey Waggoner
Credential
EMT-A
Provider Entity Type
Individual
Gender
Female
Address
4 Valley Stream Ln, Newnan, GA, 30263-2912
Phone Number
678-378-3195
Fax Number
Provider Enumeration Date
05/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4 Valley Stream Ln
City
Newnan
State
Georgia
Zip
30263-2912
Phone Number
678-378-3195
Fax Number
person
Provider Business Mailing Address Details
Address
4 Valley Stream Ln
City
Newnan
State
Georgia
Zip
30263-2912
Phone Number
678-378-3195
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Intermediate
Speciality
-
Taxonomy
146M00000X
License No.
A001035 (Georgia)
Definition
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
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