Individual
BRYAN WAYNE HAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3200 NORTHLINE AVE, GREENSBORO, NC 27408-7616
(336) 273-7900
(336) 275-0433
Mailing address
7 BROOKSHIRE CT, GREENSBORO, NC 27455-2573
(336) 462-1267
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001002980
NC
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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