Individual
KATHRYN GIBSON WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
125 MEDICAL PARK LN, SUITE H, MURPHY, NC 28906-6920
(828) 837-2128
(828) 837-6244
Mailing address
125 MEDICAL PARK LN, SUITE H, MURPHY, NC 28906-6920
(828) 837-2128
(828) 837-6244
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9701704
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904238
—
NC
Enumeration date
08/30/2006
Last updated
07/08/2007
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