Individual
KATHERINE ELIZABETH HAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19485 OLD JETTON RD STE 100, CORNELIUS, NC 28031-6583
(704) 316-5170
(704) 316-5172
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020-04645
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2018
Last updated
08/03/2021
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