Organization
JAMES LOWELL HAGAN,SR, M.D., LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE BERRY (BILLING MANAGER)
(803) 233-6576
Entity
Organization
Contact information
Practice address
100 AURORA PL, SUITE 200, AIKEN, SC 29801-6356
(803) 649-6380
(803) 649-6187
Mailing address
100 AURORA PL, SUITE 200, AIKEN, SC 29801-6356
(803) 233-6576
(803) 233-4675
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12240
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2292
—
SC
Enumeration date
06/12/2007
Last updated
11/20/2008
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