NPI 1134583701 · live from the CMS NPI Registry
Sarah Kathryn Bagley, PA-C
Physician Assistant in Charlotte, NC. National Provider Identifier 1134583701, active.
NPI record
| NPI | 1134583701 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 10905 Providence Rd W, Ste 270, Charlotte, NC 28277 |
| Practice phone | 704-316-3410 |
| Mailing address | Po Box 60447, Charlotte, NC 28260 |
| Enumerated | April 11, 2016 |
| Last updated | August 7, 2024 |
| Sole proprietor | No |
| Other names | Sarah Driscoll |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 0010-13260 (NC) |
| Physician Assistant | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.