Individual
MICHAEL L MAGGART
Active
Individual
MICHAEL L MAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD0000014758
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3378302
—
TN
01
—
52220
BLUE CROSS BLUE SHIELD
TN
Enumeration date
11/21/2005
Last updated
06/29/2020
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