Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK S. HOGAN JR.
Active Sole ProprietorJACK S. HOGAN JR. is a 2278G1100X healthcare provider located in NORTH MYRTLE BEACH, South Carolina. NPI 1306472535 is currently active in the NPPES registry. Verify at CMS.
2278G1100X · NORTH MYRTLE BEACH, SC
Registration Details
- NPI Number
- 1306472535
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 19, 2020 (6.445463967279 yrs)
- Last Updated
- Mar 19, 2020
- License
-
4417 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
773 MAIN STNORTH MYRTLE BEACH, SC, 295823029Browse SC providers · Browse ZIP 29582
- Phone
- 8432696737
- Fax
- 8432810126
- Primary Specialty
-
2278G1100X
2278G1100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.