Scott J Waguespack MD/Family Healthcare

Primary specialty

SpecialistTaxonomy code 174400000X

License

063014 Issued in GA

Legal business name

SCOTT J WAGUESPACK MD/FAMILY HEALTHCARE

Practice address

11 Cross St
Hazlehurst, GA 31539-6427

Phone

(912) 375-2884

Fax

(912) 375-2894

NPI assigned

Apr 6, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Scott Joseph Waguespack, M.D.

Title

Owner

Phone

(912) 375-2884

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1811286271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315390068",
            "telephone_number": "912-375-2884",
            "fax_number": "912-375-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CROSS ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396427",
            "telephone_number": "912-375-2884",
            "fax_number": "912-375-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT J WAGUESPACK MD/FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "WAGUESPACK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-375-2884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "063014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Hazlehurst, GA
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.