Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laura Waggoner

Individual provider Mammography Radiologic Technologist · NPI 1316344377

Laura Waggoner is a Mammography Radiologic Technologist in Odum, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014

Practice location Address checks out

1672 Tank Rd
Odum, GA 31555-7108
Phone: (912) 424-0513
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mammography Radiologic Technologist (primary) Taxonomy 2471M2300X · Licence 265463 (GA)

Record details

NPI number1316344377
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 19, 2014
Last updated in NPPESNovember 19, 2014
Mailing address1672 Tank Rd, Odum, GA 31555-7108