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Individual
JOHN CLAUDE BAGWELL
Active
Individual
JOHN CLAUDE BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
070527
GA
207RH0003X
Hematology & Oncology Physician
Primary
91-4
NM
207RH0003X
Hematology & Oncology Physician
D3140
TX
Other
Enumeration date
04/05/2006
Last updated
07/15/2015
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