Individual
MRS. PAULA EVANS HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1004 NEWNAN RD, CARROLLTON, GA 30116-6428
(770) 836-6667
(770) 836-6722
Mailing address
1004 NEWNAN RD, CARROLLTON, GA 30116-6428
(770) 836-6667
(770) 836-6722
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002591
GA
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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