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Individual

DANIELLE L HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8779
(919) 350-8812
Mailing address
400 KEISLER DR, CARY, NC 27518-7069
(919) 781-9078
(919) 719-0147

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101800
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0167G
BCBSNC
NC
Enumeration date
10/03/2006
Last updated
02/29/2016
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