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NPI Verification

National Provider Identifier: 1558306019

Michael Brian Bagwell, D.o.

Individual Provider

Credentials

D.O.

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Emergency Medicine

Code: 207P00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

2778 HIGHWAY 51 S

SENATOBIA, MS 386689403

Phone: 662-560-5966

NPI Enumeration Date

June 18, 2006

NPI Number

1558306019

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Michael Bagwell, D.o. - NPI 1558306019 | Provider Verification | HormoneMap