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NPI Code Detail

MEDICARE: HOGAN SURGICAL CENTER

MEDICARE: HOGAN SURGICAL CENTER
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
1261QA1903XAmbulatory Surgical Clinic/Center14349MS

General Provider Information

NPI Number : 1538338322
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOGAN SURGICAL CENTER
Provider Business Mailing Address
First Line : 351 COWAN RD
Second Line :
City : GULFPORT
State : MS
Zip : 39507-2019
Country : US
Telephone Number : 228-896-1120
Fax Number : 228-896-1332
Provider Business Practice Location Address
First Line : 351 COWAN RD
Second Line :
City : GULFPORT
State : MS
Zip : 39507-2019
Country : US
Telephone Number : 228-896-1120
Fax Number : 228-896-1332
Authorized Official
Title or Position : PRESIDENT
Name : DR. CHRISTOPHER DAVID HOGAN
Credential : M.D.
Telephone Number : 228-896-1120
Provider Enumeration Date : 02/26/2008
Last Update Date : 02/26/2008

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Directions to “HOGAN SURGICAL CENTER ” Practice Location

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