Provider Demographics
NPI:1710907027
Name:STAGGERS, MARGARET ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ANNE
Last Name:STAGGERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:36 BARRINGTON HILL RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25840-6629
Mailing Address - Country:US
Mailing Address - Phone:304-574-1787
Mailing Address - Fax:304-574-3332
Practice Address - Street 1:36 BARRINGTON HILL RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:WV
Practice Address - Zip Code:25840-6629
Practice Address - Country:US
Practice Address - Phone:304-574-1787
Practice Address - Fax:304-574-3332
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV09224207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0057079000Medicaid
WV001715860OtherMT.STATE BCBS
WV3000135OtherBWC
WV0057079000Medicaid