Individual
MR. MICHAEL GRAHAM HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 COLONY PARK DR STE 100, CUMMING, GA 30040-2763
(770) 456-5817
(770) 573-7203
Mailing address
107 COLONY PARK DR STE 100, CUMMING, GA 30040-2763
(770) 456-5817
(770) 573-7203
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
031440
GA
207X00000X
Orthopaedic Surgery Physician
Primary
031440
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000390706G
—
GA
05
—
000390706H
—
GA
05
—
000390706I
—
GA
05
—
00390706C
—
GA
Enumeration date
10/02/2006
Last updated
06/23/2020
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