Individual
KENNETH OGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1365B CLIFTON RD NE, SUITE B1400, ATLANTA, GA 30322-1013
(404) 778-4898
(404) 778-4006
Mailing address
8205 TROLLEY SQUARE XING NE, ATLANTA, GA 30306-3775
(404) 274-2036
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
051699
GA
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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