Provider Demographics
NPI:1639264336
Name:CAGLE, MARGARET SUZANNE (PA-C)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:SUZANNE
Last Name:CAGLE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3B MCDOWELL ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4103
Mailing Address - Country:US
Mailing Address - Phone:828-225-1920
Mailing Address - Fax:828-225-1924
Practice Address - Street 1:3B MCDOWELL ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4103
Practice Address - Country:US
Practice Address - Phone:828-225-1920
Practice Address - Fax:828-225-1924
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101334363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891114GMedicaid
NCS81109Medicare UPIN
NC891114GMedicaid