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Individual

LARRY J HOGAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
1365 CLIFTON RD NE, ALTANTA, GA 30322
(404) 778-5288
(404) 778-5057
Mailing address
640 CUMBERLAND RD NE, ALTANTA, GA 30306
(404) 873-5292

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
001832
GA

Other

Enumeration date
06/06/2006
Last updated
07/08/2007
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