Individual
MARY M HAGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 W JUBAL EARLY DR STE 104, WINCHESTER, VA 22601-6435
(540) 667-6232
(540) 667-6036
Mailing address
420 W JUBAL EARLY DR STE 104, WINCHESTER, VA 22601-6435
(540) 667-6232
(540) 667-6036
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0101048922
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006085806
—
VA
Enumeration date
03/17/2006
Last updated
03/23/2023
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