Waggoner, Stacey

Waggoner, Stacey is an individual health care provider with primary practice located at 4 Valley Stream Ln , Newnan GA 30263-2912. She recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Intermediate, which is considered as her primary health care specialty. Waggoner, Stacey can be contacted via phone (678) 378-3195.

Contact Information

Primary practice address
4 Valley Stream Ln Newnan GA 30263-2912
Phone: (678) 378-3195
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Intermediate 146M00000X A001035 Georgia

Profile Details

NPI number 1174146732
LBN Legal business name Waggoner, Stacey
Credentials EMT-A
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2020
Last updated May 18th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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