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LARRY J HOGAN PAC

>> Thoracic Surgery (Cardiothoracic Vascular Surgery) >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1518906189

Individual Registrant:
 LARRY J HOGAN PAC
Gender: M

Location and contact information for practice:
1365 CLIFTON RD NE  ALTANTA, GA 30322 US
Tel: 404-778-5288  Fax: 404-778-5057

Contact information for business:
640 CUMBERLAND RD NE  ALTANTA, GA 30306 US
Tel: 404-873-5292  Fax: --

Registration Information:
NPI: 1518906189
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208G00000XAllopathic & Osteopathic Physicians
Thoracic Surgery (Cardiothoracic Vascular Surgery)
GA001832

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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