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LAURA WAGGONER
NPI 1316344377
Radiologic Technologist - Mammography in Odum, GA

Active since November 19, 2014

NPPES record last updated: November 19, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Laura Waggoner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA WAGGONER (NPI 1316344377) is an individual mammography provider in Odum, Georgia, licensed in Georgia (265463) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1316344377
Entity TypeIndividualFemale
Primary Taxonomy2471M2300X
Provider Legal NameLAURA WAGGONER
Location Address1672 TANK RDOdum, GA 31555-7108
Mailing Address1672 Tank RdOdum, GA 31555-7108 · (912) 424-0513
Phone(912) 424-0513
Sole ProprietorNo
Enumeration DateNovember 19, 2014
✔ NPI 1316344377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic Technologist · MammographyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2471M2300X
License✔ Licensed in GA · 265463
Definition
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.
1672 TANK RD, Odum, GA 31555
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Waggoner's NPI number?

The NPI number for Laura Waggoner is 1316344377. It was assigned to this individual provider in the NPPES registry on November 19, 2014.

Where is Laura Waggoner located?

Laura Waggoner practices at 1672 Tank Rd, Odum, GA 31555. The listed phone number is (912) 424-0513.

What is Laura Waggoner's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Mammography, with taxonomy code 2471M2300X.

When was this NPI record last updated?

The NPPES record for Laura Waggoner was last updated on November 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.