Individual
DR. GRANT MICHAEL HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
1380 PEACHTREE INDUSTRIAL BLVD, SUITE 100, SUWANEE, GA 30024-3769
(770) 232-1191
(770) 232-2733
Mailing address
1380 PEACHTREE INDUSTRIAL BLVD, SUITE 100, SUWANEE, GA 30024-3769
(770) 232-1191
(770) 232-2733
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
057479
GA
Other
Enumeration date
09/27/2006
Last updated
08/26/2014
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