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Individual

EMILY DUGGER HERSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
115 WHITMIRE RD, EASLEY, SC 29640
(864) 855-2411
(864) 855-2413
Mailing address
115 WHITMIRE RD, EASLEY, SC 29640-1426
(864) 855-2411

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
007499
GA
363A00000X
Physician Assistant
Primary
2980
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003157530A
GA
05
169289
AL
01
602-05779
BCBS-AL
AL
Enumeration date
02/04/2015
Last updated
08/30/2018
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