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1205891397
BENNETT P HOGAN
VALDOSTA, GA
NPI
1205891397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 050024)
Enumeration Date
2006-04-20
Last Update Date
2012-06-27
Business Address
-- BENNETT P HOGAN M.D.
117 W NORTHSIDE DR
VALDOSTA, GA 31602-1700
Phone number: 229-333-0616
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Mailing Address
-- BENNETT P HOGAN M.D.
117 W NORTHSIDE DR
VALDOSTA, GA 31602-1700
Phone number: 229-333-0616
Copy
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