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Laura Waggoner
Mammography Radiologic Technologist in Odum, Georgia
NPI 1316344377

Laura Waggoner is a Mammography Radiologic Technologist based in Odum, GA and is specialized in Mammography. Laura Waggoner practices in Odum, GA. The NPI Number for Laura Waggoner is 1316344377 and holds a License No. 265463 (Georgia).

The current practice location address for Laura Waggoner is 1672 Tank Rd, Odum, GA and can be reached out via phone at 912-424-0513.

Location: 1672 Tank Rd, Odum, GA, 31555-7108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316344377
Provider Name
Laura Waggoner
Credential
Provider Entity Type
Individual
Gender
Female
Address
1672 Tank Rd, Odum, GA, 31555-7108
Phone Number
912-424-0513
Fax Number
Provider Enumeration Date
11/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1672 Tank Rd
City
Odum
State
Georgia
Zip
31555-7108
Phone Number
912-424-0513
Fax Number
person
Provider Business Mailing Address Details
Address
1672 Tank Rd
City
Odum
State
Georgia
Zip
31555-7108
Phone Number
912-424-0513
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Mammography
Taxonomy
2471M2300X
License No.
265463 (Georgia)
Definition
Definition to come...
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