David C Waggoner, MD | |
201 W Avalon Ave, Muscle Shoals, AL 35661-2805 | |
(256) 386-1600 | |
Not Available |
Full Name | David C Waggoner |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 201 W Avalon Ave, Muscle Shoals, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679624597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 27997 (Kentucky) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 13783 (Alabama) | Primary |
Entity Name | Willough Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932138823 PECOS PAC ID: 6901706944 Enrollment ID: O20061023000450 |
Mailing Address | Practice Location Address |
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David C Waggoner, MD 411 Walnut St, Suite 8615, Green Cove Springs, FL 32043-3443 Ph: (615) 297-7390 | David C Waggoner, MD 201 W Avalon Ave, Muscle Shoals, AL 35661-2805 Ph: (256) 386-1600 |
Mazen Bassam Omar, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 203 West Avalon Ave Ste 100, Muscle Shoals, AL 35661 Phone: 256-386-4940 Fax: 256-386-4944 | |
Andrea Yates, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 201 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-768-8323 | |
Dr. Ahmad B Al-hamda, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 203 Avalon Ave Ste 200, Muscle Shoals, AL 35661 Phone: 256-980-6217 Fax: 855-862-8474 |