MEDICARE: SIERRA HOGAN

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	343900000X	Non-emergency Medical Transport (VAN)	070434440	GA

General Provider Information

NPI Number	:	1962366278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIERRA HOGAN

Provider Business Mailing Address
First Line	:	600 GARSON DR NE APT 3308
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-3380
Country	:	US
Telephone Number	:	404-482-6657
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 GARSON DR NE APT 3308
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-3380
Country	:	US
Telephone Number	:	404-482-6657
Fax Number	:

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

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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Directions to “ SIERRA HOGAN ” Practice Location

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