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1255331914
BRIAN S WAGGONER
COOKEVILLE, TN
NPI
1255331914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN MD27530)
Enumeration Date
2005-07-26
Last Update Date
2016-07-14
Business Address
Dr. BRIAN S WAGGONER MD
428 N WILLOW AVE
COOKEVILLE, TN 38501-2339
Phone number: 931-854-9988
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Mailing Address
Dr. BRIAN S WAGGONER MD
428 N WILLOW AVE
COOKEVILLE, TN 38501-2339
Phone number: 931-854-9988
Copy
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