Individual
RICHARD BAGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7601 RADIN RD, WAXHAW, NC 28173-9158
(704) 843-6565
(704) 843-6207
Mailing address
PO BOX 248, WAXHAW, NC 28173-0248
(704) 843-6565
(704) 843-6207
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
022507
GA
2084P0800X
Psychiatry Physician
Primary
8049
NC
2084P0800X
Psychiatry Physician
J2488
TX
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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