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Individual
MRS. ELIZABETH MARIE HARGETT
Active
Individual
MRS. ELIZABETH MARIE HARGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2818
SC
363A00000X
Physician Assistant
TL2818
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3477PA
—
SC
01
—
SCC1416067
MEDICARE PIN
SC
Enumeration date
08/29/2017
Last updated
01/14/2021
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