MEDICARE: DANIEL M. HAGAN

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
1	213ES0131X	Foot Surgery Podiatrist	206	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316125412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL M. HAGAN

Provider Business Mailing Address
First Line	:	1404 CLIFTON RD
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28540-8202
Country	:	US
Telephone Number	:	910-382-7424
Fax Number	:

Provider Business Practice Location Address
First Line	:	237 WHITE ST STE 2
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-6351
Country	:	US
Telephone Number	:	910-577-4977
Fax Number	:	910-577-4980

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. DANIEL HAGAN
Credential	:	D.P.M.
Telephone Number	:	910-382-7424

Provider Enumeration Date	:	01/31/2008
Last Update Date	:	10/12/2021

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Directions to “DANIEL M. HAGAN ” Practice Location

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