IndividualActive
Andrew Hagenauer, D.O
NPI 1063894590 · Sports Medicine (Family Medicine) Physician · Seneca, SC
Provider details
- NPI number
- 1063894590
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O
- Sex
- Male
- Sole proprietor
- Yes
- License
- LL37689 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
10110 Clemson Blvd
Seneca, SC 29678-0812
Phone: (864) 482-3148
Fax: (864) 482-0505
Approximate (ZIP-level) locationGet directions
Mailing address
300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842
Registry dates
- Enumerated
- 2015-06-21
- Last updated
- 2020-08-05
- Certified
- 2020-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.