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1134184864
BENNETT P HOGAN MD PC
VALDOSTA, GA
NPI
1134184864
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Entity Type
Organization
Authorized Contact
BENNETT PATE HOGAN
President
229-333-0616
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 050024)
Enumeration Date
2006-04-18
Last Update Date
2013-03-19
Business Address
BENNETT P HOGAN MD PC
117 W NORTHSIDE DR
VALDOSTA, GA 31602-1700
Phone number: 229-333-0616
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Mailing Address
BENNETT P HOGAN MD PC
117 W NORTHSIDE DR
VALDOSTA, GA 31602-1754
Phone number: 229-333-0616
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