Individual
THOMAS J. HOGAN JR.
Active
Individual
THOMAS J. HOGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
040099
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000680325C
—
GA
05
—
000680325D
—
GA
05
—
000680325E
—
GA
01
—
10065723
AMERIGROUP
GA
01
—
110214365
RR MEDICARE
GA
01
—
349783
WELLCARE
GA
01
—
619196
WELLCARE
GA
05
—
G40099
—
SC
Enumeration date
06/08/2006
Last updated
01/04/2022
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