Search › South Carolina › 2278G1100X
Jack Hogan
NPI 1306472535 · on the registry since 2020 · sole proprietor
Practice
- Address
- 773 Main St
North Myrtle Beach, SC 29582 - Phone
- (843) 269-6737
- Fax
- (843) 281-0126
Registry record
- Primary taxonomy
- 2278G1100X
2278G1100X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina