LAURA WAGGONER NPI 1316344377

NPI Information

  • NPI: 1316344377
  • Provider Name: LAURA WAGGONER
  • Classification: Radiologic Technologist - 2471M2300X
  • Specialization: Mammography
  • Entity Type: Individual
  • Address: 1672 TANK RD
    ODUM, GA
    ZIP 31555
  • Phone: (912) 424-0513

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NPI Details

Laura Waggoner is a mammography radiologic technologist in Odum, GA. The provider is a radiologic technologist who specializes in mammography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of mammogram imaging, exam techniques, equipment protocols, radiation safety, and patient care. Laura Waggoner NPI is 1316344377. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1672 TANK RD
ODUM, GA
ZIP 31555-108
Phone: (912) 424-0513

The enumeration date for this NPI number is 11/19/2014 and was last updated on 11/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12471M2300XRadiologic TechnologistMammography265463GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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