Individual
MISTY DAWNE HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
220 MCGEE RD, ANDERSON, SC 29625-2104
(864) 260-5617
Mailing address
410 VIOLET FIELD LN, SENECA, SC 29672-4569
(606) 465-3368
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
227176
SC
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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