Individual
MACKENZIE LEIGH HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
335 BROAD ST APT B12, AUGUSTA, GA 30901-1541
(920) 251-2493
Mailing address
335 BROAD ST APT B12, AUGUSTA, GA 30901-1541
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/13/2015
Last updated
08/24/2016
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