| NPI | 1467549634 |
|---|---|
| Former Legal Business Name | JESS C HAGGERTY III SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | JESSE CORNELIUS HAGGERTY Physician 334-687-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 24003) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2018-06-20 |