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Individual

MARYKATE HAGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 876-8023
(843) 792-9706
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425
(843) 876-8023
(843) 792-9706

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
LL51152
SC
207P00000X
Emergency Medicine Physician
Primary
MD51152
SC

Other

Enumeration date
06/06/2017
Last updated
07/21/2022
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