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NPI Code Detail

MEDICARE: DR. BILLY J HAGUEWOOD JR. M.D.

MEDICARE:  DR. BILLY J HAGUEWOOD JR. M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician023134SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2180044682OTHERSCRAILROAD MEDICARE INDIVID
3CJ6730OTHERSCRAILROAD MEDICARE GROUP

Other Identifiers

General Provider Information

NPI Number : 1992708135
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BILLY J HAGUEWOOD JR. M.D.
Provider Business Mailing Address
First Line : 479 HEYWOOD AVE
Second Line :
City : SPARTANBURG
State : SC
Zip : 29307
Country : US
Telephone Number : 864-583-6381
Fax Number : 864-583-6390
Provider Business Practice Location Address
First Line : 1520 BOILING SPRINGS RD
Second Line :
City : BOILING SPRINGS
State : SC
Zip : 29316
Country : US
Telephone Number : 864-583-6381
Fax Number : 864-583-6390
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 07/09/2019

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Directions to “ DR. BILLY J HAGUEWOOD JR. M.D.” Practice Location

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