Organization
THOMAS J HAGAN, DPM
Active
Other names
Coastal Carolina Foot & Ankle Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JAMES HAGAN D.P.M. (PODIATRIST)
(252) 633-3400
Entity
Organization
Contact information
Practice address
612A MCCARTHY BLVD, NEW BERN, NC 28562-5231
(252) 633-3400
(252) 633-9338
Mailing address
612A MCCARTHY BLVD, NEW BERN, NC 28562-5231
(252) 633-3400
(252) 633-9338
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
137
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015ME
BCBSNC GROUP NUMBER
NC
01
—
08079
BCBSNC PROVIDER NUMBER
NC
01
—
1962406991
INDIVIDUAL NPI
NC
05
—
7908079
—
NC
Enumeration date
05/02/2006
Last updated
11/03/2008
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