Individual
MRS. ERIN COOK HAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2460
(803) 791-2519
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 791-2460
(803) 791-2519
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1478
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51000150
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/18/2006
Last updated
10/29/2020
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