CHARLES W BAGLEY

COLLIERVILLE, TN
NPI1992714588
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TN  121342)
Enumeration Date2006-08-05
Last Update Date2007-07-08
Business Address
-- CHARLES W BAGLEY PNP
120 CRESCENT DR
COLLIERVILLE, TN 38017
Phone number: 901-757-3560
Mailing Address
-- CHARLES W BAGLEY PNP
8110 WALNUT RUN RD
CORDOVA, TN 38018
Phone number: 901-757-3550
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