Brian S Waggoner in Cookeville - Internal Medicine
Brian S Waggoner - NPI 1255331914
Brian S Waggoner is a Internal Medicine in Cookeville, Tennessee. Brian S Waggoner practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Brian S Waggoner is 1255331914. The last update date is 2016-07-14.
Brian S Waggoner's current location address is 428 N Willow Ave, Cookeville, Tennessee. You can contact this provider via phone number 9318549988 and fax number 9318549977. The mailing address for Brian S Waggoner is 428 N Willow Ave, Cookeville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian S Waggoner |
|---|---|
| Address | 428 N Willow Ave, Cookeville, Tennessee |
| Phone Number | 9318549988 |
| Fax Number | 9318549977 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1255331914 |
|---|---|
| Provider Enumeration Date | 2005-07-26 |
| Last Updated Date | 2016-07-14 |
Provider Mailing Address Detail
| Address | 428 N Willow Ave |
|---|---|
| City | Cookeville |
| State | Tennessee (TN) |
| Post Code | 385012339 |
| Phone Number | 9318549988 |
| Fax Number | 9318549977 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MD27530 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4033875 | TN | BLUE CROSS BLUE SHIELD | |
| 3812970 | TN | -- |
Post Comment/ Review Below
What is the Brian S Waggoner's 1255331914?
The Brian S Waggoner's NPI (National Provider Identifier) Number is 1255331914. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Brian S Waggoner located?
The Brian S Waggoner is located at 428 N Willow Ave, Cookeville, TN 385012339.
What is Brian S Waggoner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brian S Waggoner's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Brian S Waggoner receive the assignment of its 1255331914 from the Centers for Medicare & Medicaid Services?
The Brian S Waggoner was issued its 1255331914 by the Centers for Medicare & Medicaid Services on 2005-07-26.
When was the information related to Brian S Waggoner most recently updated or refreshed?
The details pertaining to the Brian S Waggoner, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-07-14.