| William M Hogan, Md, Pc | |
|
1432 Hickey Rd Knoxville TN 37932-2017 | |
| (865) 593-4000 | |
| Not Available |
| Full Name | William M Hogan, Md, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1432 Hickey Rd, Knoxville, Tennessee |
| Authorized Official Name and Position | William Hogan (OWNER/PROVIDER) |
| Authorized Official Contact | 8659938787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William M Hogan, Md, Pc Po Box 31649 Knoxville TN 37930-1649 Ph: (865) 593-4000 | William M Hogan, Md, Pc 1432 Hickey Rd Knoxville TN 37932-2017 Ph: (865) 593-4000 |
| NPI Number | 1972775070 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 01/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972775070 | NPI | - | NPPES |
| 021709 | Other | TN | BLUECROSS BLUESHIELD |
| 3197893 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD 14221 (Tennessee) | Primary |
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