Individual
MAGGIE WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
335 TOWNSHIP ROAD 1026, SOUTH POINT, OH 45680-7842
(740) 744-4055
Mailing address
PO BOX 390, HUNTINGTON, WV 25708-0390
(304) 429-1088
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
02/13/2025
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