NPI 1174146732

Stacey Waggoner, EMTA

Practitioner Intermediate Emergency Medical Technician Newnan, GA

Practice location

Address: 4 Valley Stream Ln, Newnan, GA 30263-2912
Phone: (678) 378-3195

Registered specialties

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence A001035 (GA)

Other Emergency Medical Technician, Intermediate providers in Georgia →

Registry record

NPI: 1174146732
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2020
Record last updated: 18 May 2020

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.