Individual
ANTWAN JERROD HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2451 FILLINGIM ST, MOBILE, AL 36617-2238
(251) 471-7891
(251) 471-1291
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 471-7891
(251) 471-1291
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35388
AL
207R00000X
Internal Medicine Physician
LL34860
SC
Other
Enumeration date
06/25/2012
Last updated
09/12/2016
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