Individual
MS. MARY LEE BAGWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
112 E MYRTLE AVE,, SUITE 504, JOHNSON CITY, TN 37601-8600
(423) 928-2885
(423) 928-2885
Mailing address
112 E MYRTLE AVE, SUITE 504, JOHNSON CITY, TN 37601-8600
(423) 928-2885
(423) 928-2885
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
A0000000041
TN
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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