Individual
MR. WILLARD HOGAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
917 E CALLAWAY RD SW, MARIETTA, GA 30060-4567
(404) 725-0567
Mailing address
917 E CALLAWAY RD SW, MARIETTA, GA 30060-4567
(404) 725-0567
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/29/2014
Last updated
01/25/2022
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