Individual
NATALIE HAGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 AVALON CHASE CIR, GREER, SC 29650-1075
(864) 775-2788
Mailing address
1106 AVALON CHASE CIR, GREER, SC 29650-1075
(864) 775-2788
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
SC
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EA1920
—
SC
Enumeration date
04/10/2019
Last updated
04/10/2019
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