person
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. You can also correspond with Laura Waggoner through the mailing address at 1672 TANK RD, ODUM, GA - 31555-7108 (mailing address contact number: 912-424-0513).

Location: 1672 Tank Rd, Odum, GA, 31555-7108
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
State
Zip
31555-7108
Phone Number
912-424-0513
Fax Number
person
Provider Business Mailing Address Details
Address
1672 Tank Rd
City
State
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
License No.
265463 (Georgia)
Definition
Definition to come...
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