Individual
DR. HUGH JOHNSON HAGAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2331 FRANKLIN RD SW, ROANOKE, VA 24014-1111
(540) 725-1226
(540) 857-5306
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
(540) 224-5684
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
0101040796
VA
2086S0105X
Surgery of the Hand (Surgery) Physician
0101040796
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891772257
INTOTAL
VA
05
—
1891772257
—
VA
01
—
371194700
BLACK LUNG
VA
01
—
3810018724
MEDICAID OF WEST VIRGINIA
VA
01
—
540506332115
TRICARE
VA
01
—
P00834690
RAILROAD MEDICARE
VA
Enumeration date
12/28/2005
Last updated
08/16/2022
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