Individual
WILLIAM R HAGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
76 PEACHTREE ROAD, SUITE 300, ASHEVILLE, NC 28803-3505
(828) 274-3477
(828) 274-7407
Mailing address
76 PEACHTREE ROAD, SUITE 300, ASHEVILLE, NC 28803-3505
(828) 274-3477
(828) 274-7407
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
114654
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114654
LICENSE NUMBER
NC
01
—
235113E
MEDICARE PTAN
NC
01
—
260557
MEDICARE PTAN
NC
01
—
2625250
PROVIDER NO CIGNA
NC
01
—
4300035342
HARRIS RR MCARE
NC
01
—
430043596
SWAIN RR MCARE
NC
05
—
8000180
—
NC
05
—
8000315
—
NC
Enumeration date
09/20/2006
Last updated
12/11/2013
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