Individual
ASHLEY HAGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1204 W 10TH ST STE A, METROPOLIS, IL 62960-2482
(618) 524-3572
(618) 524-4131
Mailing address
1201 BISHOP ST, UNION CITY, TN 38261-5403
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.008772
IL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/11/2018
Last updated
12/27/2022
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