Organization
SCOTT J WAGUESPACK MD/FAMILY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT JOSEPH WAGUESPACK M.D. (OWNER)
(912) 375-2884
Entity
Organization
Contact information
Practice address
11 CROSS ST, HAZLEHURST, GA 31539-6427
(912) 375-2884
(912) 375-2894
Mailing address
PO BOX 68, HAZLEHURST, GA 31539-0068
(912) 375-2884
(912) 375-2894
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
063014
GA
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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