NPI 1104591734

Brittany Sue Waggoner, CLC

Practitioner Lactation Consultant (Non-RN) McEwen, TN

Practice location

Address: 3770 E. Blue Creek Rd, McEwen, TN 37101
Phone: (931) 209-7610
Fax: (931) 444-5850

Registered specialties

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X Licence 332098 (MA)

Other Lactation Consultant, Non-RN providers in Tennessee →

Registry record

NPI: 1104591734
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Aug 2021
Record last updated: 16 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.