Individual
DR. STEVEN EDWARD WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
101 DEMOREST SQUARE DR, SUITE G, DEMOREST, GA 30535-6044
(706) 776-7852
(706) 776-0011
Mailing address
101 DEMOREST SQUARE DR, SUITE G, DEMOREST, GA 30535-6044
(706) 776-7852
(706) 776-0011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007483
GA
Other
Enumeration date
03/16/2007
Last updated
03/01/2011
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