DR. Brian S Waggoner, MD

NPI #1255331914 in Cookeville, Tennessee

Provider Information

NPI Number: 1255331914
Entity Type: Individual
Name: DR. Brian S Waggoner, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jul 26, 2005
Last Updated: Jul 14, 2016

Practice Location

Address: 428 N WILLOW AVE
City: Cookeville
State: Tennessee
ZIP Code: 38501-2339
Phone: (931) 854-9988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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