Individual provider · Type 1 NPI
Stacey Waggoner, EMT-A
Intermediate Emergency Medical Technician · Newnan, GA
NPI number
1174146732
Active
Practice location
4 Valley Stream Ln
Newnan, GA 30263-2912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intermediate Emergency Medical Technician Primary | 146M00000X | A001035 (GA) |
Intermediate Emergency Medical Technician: An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
Another provider at this address
About NPI 1174146732
Stacey Waggoner, EMT-A's National Provider Identifier is 1174146732, issued on May 18, 2020. The primary taxonomy on file is Intermediate Emergency Medical Technician (146M00000X), and the practice location is in Newnan, GA. The record was last updated on May 18, 2020.