Individual
PATRICIA A HAGERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1525 RIVERSHYRE PKWY, LAWRENCEVILLE, GA 30043-6428
(770) 277-5387
Mailing address
575 PROFESSIONAL DR STE 510, LAWRENCEVILLE, GA 30046-3336
(770) 513-2072
(770) 513-7896
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004006
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I979283
MEDICARE ID
GA
Enumeration date
02/28/2006
Last updated
09/15/2020
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