Individual
MRS. KRISTINA WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2122 MANCHESTER EXPY, COLUMBUS, GA 31904-6878
(706) 596-4000
Mailing address
2122 MANCHESTER EXPY, COLUMBUS, GA 31904-6878
(706) 596-4000
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
AG0315147
GA
Other
Enumeration date
03/27/2015
Last updated
01/21/2022
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