Healthcare Provider Details

I. General information

NPI: 1639130982
Provider Name (Legal Business Name): JAMES A HAAGA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 01/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 MEDICAL CAMPUS DR
BURNSVILLE NC
28714-9010
US

IV. Provider business mailing address

926 RANSOM SILVERS RD
BURNSVILLE NC
28714-8062
US

V. Phone/Fax

Practice location:
  • Phone: 828-682-0200
  • Fax: 828-682-6858
Mailing address:
  • Phone: 828-675-9040
  • Fax: 828-765-5877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number27196
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: