Individual
MRS. KATHLEEN WEATHERFORD HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN GPN
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 320, COLUMBIA, SC 29203-6896
(803) 434-6771
(803) 434-3855
Mailing address
300 E MCBEE AVE, GREENVILLE, SC 29601-2842
(803) 296-7320
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
27551
SC
363LG0600X
Gerontology Nurse Practitioner
Primary
685
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0894
—
SC
Enumeration date
08/14/2006
Last updated
06/07/2021
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