Dr. Matthew R. Hogan M.D.
Hospitalist Physician in Decatur, GA(View on Map)
Full Name
Dr. Matthew Ryan Hogan M.D.
NPI Number
1568515518
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/20/2007
Specialties
(Taxonomies)Name
Code
208M00000X
207RH0002X
207R00000X
Primary Taxonomy
Yes
No
No
Licenses
State
Georgia
Georgia
License Number
61895
061895
Contact
Information
Purpose
Mailing
Location
Address
265 2ND AVE
2701 N DECATUR RD
City
Decatur
Decatur
State
GA
GA
Postal Code
30030-3551
30033-5918
Country
US
US
Telephone Number
(404) 791-4795
(404) 501-5422
Identifiers
Identifier
680771919A
Identifier State
GA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/27/2022
Provider Address
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