Individual
MRS. KATIE LYNN DAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15 SKYLAND INN DR, ARDEN, NC 28704
(828) 654-5001
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-5616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04980
NC
363AM0700X
Medical Physician Assistant
0010-04980
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029F7
BCBSNC
NC
01
—
P01440727
RRMEDICARE
NC
Enumeration date
12/19/2012
Last updated
04/07/2021
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