Individual
MICHAEL D HAGGERTY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1049 BAYOU PL, DIAMONDHEAD, MS 39525-4108
(228) 871-2810
(228) 871-3725
Mailing address
1049 BAYOU PL, DIAMONDHEAD, MS 39525-4108
(228) 871-2810
(228) 871-3725
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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