Individual
CHRISTOPHER DANIEL HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 RUSTIC LIVE OAK TRL, BONAIRE, GA 31005-4230
(561) 329-6911
Mailing address
216 RUSTIC LIVE OAK TRL, BONAIRE, GA 31005-4230
(561) 329-6911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
88418
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2019
Last updated
02/02/2022
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