Individual
DR. BILLY J HAGUEWOOD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 BOILING SPRINGS RD, BOILING SPRINGS, SC 29316
(864) 583-6381
(864) 583-6390
Mailing address
479 HEYWOOD AVE, SPARTANBURG, SC 29307
(864) 583-6381
(864) 583-6390
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
023134
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180044682
RAILROAD MEDICARE INDIVID
SC
01
—
790656V
NORTH CAROLINA MEDICAID
SC
01
—
CJ6730
RAILROAD MEDICARE GROUP
SC
05
—
T73710
—
SC
Enumeration date
05/23/2005
Last updated
07/09/2019
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