SearchGeorgia183500000X

Stanley Hogan, BSRPH

NPI 1386083939 · on the registry since 2013 · sole proprietor

Practice

Address
4 2nd St
Jackson, GA 30233
Phone
(770) 775-3663
Fax
(770) 775-1279
Organisation at this address
Rr Long Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-06-17

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 Georgia