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1821160086
EMILY A BAGWELL
NORTH CHARLESTON, SC
NPI
1821160086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 1148)
Enumeration Date
2006-11-14
Last Update Date
2007-07-08
Business Address
-- EMILY A BAGWELL P.A.
8091 RIVERS AVE
NORTH CHARLESTON, SC 29406-9236
Phone number: 843-572-7000
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Mailing Address
-- EMILY A BAGWELL P.A.
4416 FOREST DR 2ND FLOOR
COLUMBIA, SC 29206-3104
Phone number: 803-782-4278
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