Individual
MARK ESTES HAGGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2859 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-7613
(757) 395-1300
Mailing address
2859 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-7613
(757) 395-1300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102204457
VA
207Q00000X
Family Medicine Physician
T63256393
VA
Other
Enumeration date
04/01/2014
Last updated
02/05/2024
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