Individual
JOHN HASTINGS WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 S WILSON DAM RD, MUSCLE SHOALS, AL 35661-3662
(256) 715-5868
(256) 253-5633
Mailing address
834 RIVER BLUFF TER, SHEFFIELD, AL 35660-2553
(865) 332-7422
(256) 253-5633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH6826
AL
Other
Enumeration date
06/04/2013
Last updated
12/31/2023
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