Bennett P Hogan Md Pc

LBN: Bennett P Hogan Md Pc
Bennett P Hogan Md Pc is an health care organization with primary practice located at 117 W Northside Dr , Valdosta GA 31602-1700. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Bennett P Hogan Md Pc can be contacted via phone (229) 333-0616, or through Hogan, Bennett Pate via phone (229) 333-0616.

Contact Information

Primary practice address
117 W Northside Dr Valdosta GA 31602-1700
Phone: (229) 333-0616
Fax: (229) 333-0647
Website:
Map and Directions
Authorized official contact:
Name: Hogan, Bennett Pate Doctor of Medicine (MD)
Phone: (229) 333-0616

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 050024 Georgia

Profile Details

NPI number 1134184864
LBN Legal business name Bennett P Hogan Md Pc
DBA Doing business as
Authorized official Hogan, Bennett Pate Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2006
Last updated Mar 19th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134184864 NPPES
Georgia MEDICAID 000906177A

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