Individual
KATIE ANN DAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1618 US 51 SOUTH, SUITE A, COVINGTON, TN 38019
(901) 313-9274
Mailing address
1618 US 51 SOUTH, SUITE A, COVINGTON, TN 38019
(901) 313-9274
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2116
TN
363AM0700X
Medical Physician Assistant
PA00181
MS
Other
Enumeration date
03/09/2012
Last updated
12/09/2013
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