Individual
DR. JACK DONALDSON HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER ROAD PO BOX 117500 RM D2-49, GAINESVILLE, FL 32610-6122
(352) 273-6575
Mailing address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(843) 228-5536
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
55070
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014759500
—
FL
Enumeration date
06/27/2006
Last updated
09/08/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us