Individual
DR. CHRISTOPHER T HAGENSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
631 PROFESSIONAL DRIVE, STE 210, LAWRENCEVILLE, GA 30046
(678) 312-3235
(678) 312-2020
Mailing address
631 PROFESSIONAL DRIVE, STE 210, LAWRENCEVILLE, GA 30046
(678) 312-3235
(678) 312-2020
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
052738
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001888315A
—
GA
01
—
1508926759
GROUP NPI NUMBER
GA
01
—
1659460244
PROVIDER NPI NUMBER
GA
Enumeration date
10/12/2006
Last updated
03/01/2021
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