Bennett P Hogan, M.D.

NPI #1205891397 in Valdosta, Georgia

Provider Information

NPI Number: 1205891397
Entity Type: Individual
Name: Bennett P Hogan, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Apr 20, 2006
Last Updated: Jun 27, 2012

Practice Location

Address: 117 W NORTHSIDE DR
City: Valdosta
State: Georgia
ZIP Code: 31602-1700
Phone: (229) 333-0616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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