Provider Demographics
NPI:1518950997
Name:HAGLER, JAMES RALEIGH SR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RALEIGH
Last Name:HAGLER
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 436
Mailing Address - Street 2:203 GEORGIA HIGHWAY 137 WEST
Mailing Address - City:BUENA VISTA
Mailing Address - State:GA
Mailing Address - Zip Code:31803-0436
Mailing Address - Country:US
Mailing Address - Phone:229-649-7974
Mailing Address - Fax:
Practice Address - Street 1:OIC, PHYSICAL EXAM SECTION, MARTIN ARMY COMM HOSP
Practice Address - Street 2:BLDG 9224 MCXB-F-PES
Practice Address - City:FORT BENNING
Practice Address - State:GA
Practice Address - Zip Code:31905-6100
Practice Address - Country:US
Practice Address - Phone:706-544-5172
Practice Address - Fax:706-544-5104
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
GA017024208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAVAD000Medicare UPIN