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NPI Code Detail

MEDICARE: RUTH MACPHIE HAGEMANN LPC

MEDICARE:   RUTH MACPHIE HAGEMANN  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor004779GA
2101Y00000XCounselor004779GA

General Provider Information

NPI Number : 1396710828
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH MACPHIE HAGEMANN LPC
Provider Business Mailing Address
First Line : 940 A GA HWY 96
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088
Country : US
Telephone Number : 478-988-1222
Fax Number :
Provider Business Practice Location Address
First Line : 100 UNIVERSITY PKWY
Second Line :
City : MACON
State : GA
Zip : 31206
Country : US
Telephone Number : 478-471-2985
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2006
Last Update Date : 05/17/2018

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Directions to “ RUTH MACPHIE HAGEMANN LPC” Practice Location

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