Individual
MRS. JAMIE LYNN HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2085 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7710
(843) 577-6523
Mailing address
PO BOX 751874, CHARLOTTE, NC 28275-1874
(843) 402-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1595
SC
Other
Enumeration date
11/30/2010
Last updated
11/10/2022
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