Doctor Name: | MRS. SUSAN T HOGGARD |
NPI Number: | 1013079938 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 300345 |
Business Practice Address: | 201 Colony Ave S Ahoskie, NC - 279103207 |
Business Phone Number: | 2523325041 |
Business Fax Number: | 2523326115 |
Mailing Address: | 201 Colony Ave S, AHOSKIE |
State: | NC |
Postal Code: | 279103207 |
Phone Number: | 2523325041 |
Fax Number: | 2523326115 |
NPI Enumeration Date: | 12/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 300345 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |