NPI 1538367123
Michael D Haggerty, IDC
Practice location
- Address
- 1049 Bayou Pl, Diamondhead, MS 39525-4108
- Phone
- (228) 871-2810
- Fax
- (228) 871-3725
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1538367123
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Jul 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.