MEDICARE: MEGAN ELIZABETH HOHENBERGER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	2021-01360	NC
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207N00000X	Dermatology Physician	20-91304	SC

General Provider Information

NPI Number	:	1013446012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN ELIZABETH HOHENBERGER MD

Provider Business Mailing Address
First Line	:	908 SMITHFIELD WAY STE 101
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29715-6956
Country	:	US
Telephone Number	:	803-220-2782
Fax Number	:	803-233-2968

Provider Business Practice Location Address
First Line	:	908 SMITHFIELD WAY STE 101
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29715-6956
Country	:	US
Telephone Number	:	803-220-2782
Fax Number	:	803-233-2968

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2017
Last Update Date	:	10/09/2024

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