Individual
MICHELLE L HAGENBUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 PLAZA CIRCLE, SUITE J, CLINTON, SC 29325
(864) 938-9690
(864) 833-9039
Mailing address
500 PLAZA CIRCLE, SUITE J, CLINTON, SC 29325
(864) 938-9690
(864) 833-9039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
150473
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150473
—
SC
Enumeration date
12/08/2005
Last updated
10/11/2007
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