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Individual

VIRGINIA WHITBY-HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1547 PARKWAY, GREENWOOD, SC 29646-4081
(864) 229-7120
Mailing address
301 BARRINGTON HALL DR APT 206, MACON, GA 31220-0711

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3335
MEDICARE
SC
05
421504
SC
Enumeration date
09/06/2019
Last updated
05/11/2023
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