Hogan, Matthew Ryan
Hogan, Matthew Ryan is an individual health care provider with primary practice located at 2701 N Decatur Rd Dmpg Cbo, Decatur GA 30033-5918. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Hogan, Matthew Ryan can be contacted via phone (404) 501-5422.Contact Information
Primary practice address
2701 N Decatur Rd Dmpg Cbo
Decatur GA 30033-5918
Phone: (404) 501-5422
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 61895 | Georgia |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 061895 | Georgia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 61895 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 061895 | Georgia |
Profile Details
| NPI number | 1568515518 |
|---|---|
| LBN Legal business name | Hogan, Matthew Ryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2007 |
| Last updated | Jun 27th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568515518 | NPPES |
| Georgia | MEDICAID | 680771919A |
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