Individual
ANGELA JUNE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
227 FLAT ROCK RD, WALHALLA, SC 29691-5039
(864) 710-8771
Mailing address
227 FLAT ROCK RD, WALHALLA, SC 29691-5039
(864) 710-8771
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
160059
SC
208600000X
Surgery Physician
160059
SC
246ZC0007X
Surgical Assistant
Primary
160059
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160059
NBSTSA
SC
Enumeration date
11/17/2025
Last updated
11/17/2025
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