Bagley, Charles W

Bagley, Charles W is an individual health care provider with primary practice located at 120 Crescent Dr , Collierville TN 38017. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Bagley, Charles W can be contacted via phone (901) 757-3560.

Contact Information

Primary practice address
120 Crescent Dr Collierville TN 38017
Phone: (901) 757-3560
Fax: (901) 757-3563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 121342 Tennessee

Profile Details

NPI number 1992714588
LBN Legal business name Bagley, Charles W
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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