| James L Hagan Sr, MD | |
|
302 University Pkwy, Wound Healing Institute At Aiken Regional Medical Cente, Aiken, SC 29801-6302 | |
| (803) 643-2090 | |
| Not Available |
| Full Name | James L Hagan Sr |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 302 University Pkwy, Aiken, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609826403 | NPI | - | NPPES |
| 122405 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 12240 (South Carolina) | Secondary |
| 208600000X | Surgery | 12240 (South Carolina) | Primary |
| Entity Name | Healogics Specialty Physicians Of South Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033531850 PECOS PAC ID: 8325261209 Enrollment ID: O20140521002244 |
| Mailing Address | Practice Location Address |
|---|---|
| James L Hagan Sr, MD Po Box 848886, Boston, MA 02284-8886 Ph: (904) 446-3451 | James L Hagan Sr, MD 302 University Pkwy, Wound Healing Institute At Aiken Regional Medical Cente, Aiken, SC 29801-6302 Ph: (803) 643-2090 |
Jack L Ratliff, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 739 Hayne Ave Sw, Aiken, SC 29801 Phone: 803-233-6576 Fax: 803-233-4675 | |
Steven William Boehm, Surgery Medicare: Medicare Enrolled Practice Location: 410 University Pkwy Ste 2310, Aiken, SC 29801 Phone: 803-648-1318 | |
Dr. Lorenzo Keith Sampson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 410 University Pkwy Ste 2310, Aiken, SC 29801 Phone: 803-648-1318 Fax: 803-642-7803 | |
Dr. Allison Buchanan Enter, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 410 University Pkwy Ste 2310, Aiken, SC 29801 Phone: 803-648-1318 Fax: 803-642-7803 | |
Joseph R Cunningham, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 302 University Parkway, Aiken, SC 29801 Phone: 803-641-5000 Fax: 803-641-5670 | |
Robert Cooper Terry, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 410 University Pkwy, Suite 2310, Aiken, SC 29801 Phone: 803-648-1318 Fax: 803-226-0111 | |
Wayne T Frei, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 410 University Pkwy, Suite 2310, Aiken, SC 29801 Phone: 803-648-1318 Fax: 803-226-0111 |