Individual
MARK GRAHAM HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 HOSPITAL RD, CANTON, GA 30114-2408
(770) 994-9326
(770) 994-4747
Mailing address
6930 BUCKS RD, CUMMING, GA 30040-0232
(678) 521-8002
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
58196
GA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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