Dr JACK L BAGLEY PA is a male medical professional, specializing in Physician Assistant. He graduated in 2000.
ATLANTIC NEUROSURGICAL AND SPINE SPECIALISTS, P.A.
2208 S 17TH ST
SUITE 201
WILMINGTON
NC
284017515
Tel: 9107633333
| Npi | 1083653745 |
| Pac Id | 0547266124 |
| Professional Enrollment Id | I20130620000705 |
| Last Name | BAGLEY |
| First Name | JACK |
| Middle Name | L |
| Suffix | |
| Gender | M |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ATLANTIC NEUROSURGICAL AND SPINE SPECIALISTS, P.A. |
| Group Practice Pac Id | 0840215786 |
| Number Of Group Practice Members | 9 |
| Line 1 Street Address | 2208 S 17TH ST |
| Line 2 Street Address | SUITE 201 |
| Marker Of Address Line 2 Suppression | |
| City | WILMINGTON |
| State | NC |
| Zip Code | 284017515 |
| Phone Number | 9107633333 |
| Hospital Affiliation Ccn 1 | 340141 |
| Hospital Affiliation Lbn 1 | NEW HANOVER REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 341327 |
| Hospital Affiliation Lbn 2 | J ARTHUR DOSHER MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 340158 |
| Hospital Affiliation Lbn 3 | NOVANT HEALTH BRUNSWICK MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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