Organization
ELBERTON WOMEN'S SPECIALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL HAGINS M.D. (OWNER)
(706) 213-1688
Entity
Organization
Contact information
Practice address
41 CHESTNUT ST, THIRD FLOOR, ELBERTON, GA 30635-1805
(706) 213-1688
(706) 213-1690
Mailing address
41 CHESTNUT ST, THIRD FLOOR, ELBERTON, GA 30635-1805
(706) 213-1688
(706) 213-1690
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
024820
GA
Other
Enumeration date
09/29/2006
Last updated
08/22/2020
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