Hogan, Michael Graham

Hogan, Michael Graham is an individual health care provider with primary practice located at 107 Colony Park Dr Ste 100 , Cumming GA 30040-2763. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Hogan, Michael Graham can be contacted via phone (770) 456-5817.

Contact Information

Primary practice address
107 Colony Park Dr Ste 100 Cumming GA 30040-2763
Phone: (770) 456-5817
Fax: (770) 573-7203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 031440 Georgia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 031440 Georgia

Profile Details

NPI number 1639262660
LBN Legal business name Hogan, Michael Graham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jun 23rd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639262660 NPPES
Georgia MEDICAID 000390706G
Georgia MEDICAID 00390706C
Georgia MEDICAID 000390706I
Georgia MEDICAID 000390706H

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