Individual
HALEY WILBORN BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1755 N MECKLENBURG AVE, SOUTH HILL, VA 23970-4080
(434) 584-2273
Mailing address
760 TRAP BRANCH RD, KENBRIDGE, VA 23944-2151
(434) 294-3968
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024189788
VA
Other
Enumeration date
03/26/2024
Last updated
01/17/2025
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