Individual
MRS. BRITTANY SUE WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
3770 E. BLUE CREEK RD, MCEWEN, TN 37101
(931) 209-7610
(931) 444-5850
Mailing address
3770 E. BLUE CREEK RD, MCEWEN, TN 37101
(931) 209-7610
(931) 444-5850
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
332098
MA
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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