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Individual

DR. DANA JUNE HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1800 HOG MOUNTAIN RD BLDG 200 STE 101, WATKINSVILLE, GA 30677-1935
(706) 769-9410
(706) 769-9475
Mailing address
1800 HOG MOUNTAIN ROAD BLDG 200 SUITE 101, P O BOX 1379, WATKINSVILLE, GA 30677-1832
(706) 769-9410
(706) 769-9475

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
044236
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000755961E
GA
05
000755961G
GA
05
000755961H
GA
01
044236
MEDICAL LISCENSE
GA
01
1138488848
GROUP NPI
01
1578555876
INDIVIDUAL NPI
01
582560190
TAX ID
GA
Enumeration date
08/22/2005
Last updated
03/16/2026
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