STACEY WAGGONER

NEWNAN, GA
NPI1174146732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy146M00000X Emergency Medical Technician, Intermediate
(Licence: GA  A001035)
Enumeration Date2020-05-18
Last Update Date2020-05-18
Business Address
Dr. STACEY WAGGONER EMT-A
4 VALLEY STREAM LN
NEWNAN, GA 30263-2912
Phone number: 678-378-3195
Mailing Address
Dr. STACEY WAGGONER EMT-A
4 VALLEY STREAM LN
NEWNAN, GA 30263-2912
Phone number: 678-373-9865