Individual
JAMES L HAGAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
302 UNIVERSITY PKWY, WOUND HEALING INSTITUTE AT AIKEN REGIONAL MEDICAL CENTE, AIKEN, SC 29801-6302
(803) 643-2090
Mailing address
PO BOX 848886, BOSTON, MA 02284-8886
(904) 446-3451
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12240
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
12240
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122405
—
SC
Enumeration date
05/11/2006
Last updated
06/15/2015
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