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Michael Bagwell
NPI 1326275611 · on the registry since 2009 · sole proprietor
Practice
- Address
- 201 S Market St
Charleston, MS 38921 - Phone
- (662) 760-7117
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi