Healthcare Provider Details

I. General information

NPI: 1801650486
Provider Name (Legal Business Name): CLAIRE ANN HOGUE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2024
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1780 PEACHTREE PKWY # 302
CUMMING GA
30041-6834
US

IV. Provider business mailing address

1780 PEACHTREE PKWY # 302
CUMMING GA
30041-6834
US

V. Phone/Fax

Practice location:
  • Phone: 770-772-1830
  • Fax:
Mailing address:
  • Phone: 770-772-1830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN283230
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: