Hagerman, Patricia A
Hagerman, Patricia A is an individual health care provider with primary practice located at 1525 Rivershyre Pkwy , Lawrenceville GA 30043-6428. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hagerman, Patricia A can be contacted via phone (770) 277-5387.Contact Information
Primary practice address
1525 Rivershyre Pkwy
Lawrenceville GA 30043-6428
Phone: (770) 277-5387
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 004006 | Georgia |
Profile Details
| NPI number | 1346216249 |
|---|---|
| LBN Legal business name | Hagerman, Patricia A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Sep 15th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346216249 | NPPES |
| Georgia | Other | 202I979283 | MEDICARE ID |
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