Individual
NATALIE MENENDEZ HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8180
(912) 350-7221
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8180
(912) 350-7221
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042283
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000768512A
—
GA
01
—
10065689
AMERIGROUP
GA
01
—
349784
WELLCARE
GA
01
—
370017875
RR MEDICARE
GA
05
—
G42283
—
SC
Enumeration date
06/19/2006
Last updated
01/24/2022
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