Individual
JACK S. HOGAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
773 MAIN ST, NORTH MYRTLE BEACH, SC 29582-3029
(843) 269-6737
(843) 281-0126
Mailing address
773 MAIN ST, NORTH MYRTLE BEACH, SC 29582-3029
(843) 269-6737
(843) 281-0126
Taxonomy
Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
4417
SC
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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