Provider Demographics
NPI:1114540788
Name:TOODOCS, LLC
Entity Type:Organization
Organization Name:TOODOCS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:WAGGONER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-378-3195
Mailing Address - Street 1:4 VALLEY STREAM LN
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-2912
Mailing Address - Country:US
Mailing Address - Phone:678-378-3195
Mailing Address - Fax:
Practice Address - Street 1:4 VALLEY STREAM LN
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-2912
Practice Address - Country:US
Practice Address - Phone:678-378-3195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOODOCS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-18
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA15GIZ4OtherAMERICAN RED CROSS - LIFEGUARDING, CPR, FIRST AID, AED INSTRUCTOR, CPR,