Individual
DR. SCOTT JOSEPH WAGUESPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5960 OGEECHEE RD STE C, SAVANNAH, GA 31419-7506
(912) 349-2676
Mailing address
205 REES ST, AMERICUS, GA 31709-3756
(229) 928-4755
(229) 928-4750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
063014
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003162142B
—
GA
01
—
102I084233
MEDICARE PTAN
GA
Enumeration date
07/16/2009
Last updated
09/29/2020
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