Individual
MRS. TARAH RAEANN HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 MADISON AVE, MADISON, WV 25130-1669
(304) 369-1230
(304) 369-1525
Mailing address
559 HUBERT HILL RD, CHAPMANVILLE, WV 25508-5257
(304) 688-3311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
476
WV
Other
Enumeration date
09/09/2009
Last updated
09/20/2024
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