Larry J Hogan, PAC | |
1365 Clifton Rd Ne, Altanta, GA 30322 | |
(404) 778-5288 | |
(404) 778-5057 |
Full Name | Larry J Hogan |
---|---|
Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 1365 Clifton Rd Ne, Altanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518906189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 001832 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Larry J Hogan, PAC 640 Cumberland Rd Ne, Altanta, GA 30306 Ph: (404) 873-5292 | Larry J Hogan, PAC 1365 Clifton Rd Ne, Altanta, GA 30322 Ph: (404) 778-5288 |
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