Individual
DR. WILLIAM MITCHELL HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1432 HICKEY RD, KNOXVILLE, TN 37932-2017
(865) 539-4000
(865) 539-8215
Mailing address
PO BOX 31649, KNOXVILLE, TN 37930-1649
(865) 539-4000
(865) 539-8215
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD0000014221
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021709
BCBST PROVIDER NUMBER
TN
01
—
103970
VALUE OPTIONS PROVIDER ID
TN
05
—
3197893
—
TN
Enumeration date
09/13/2006
Last updated
01/10/2017
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