Individual
MRS. ERIN COOK HAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
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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