| William M. Hogan, Md, Pllc | |
|
1432 Hickey Road Knoxville TN 37932 | |
| (865) 539-4000 | |
| (865) 539-8215 |
| Full Name | William M. Hogan, Md, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1432 Hickey Road, Knoxville, Tennessee |
| Authorized Official Name and Position | William M. Hogan (MANAGING MEMBER) |
| Authorized Official Contact | 8655394000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William M. Hogan, Md, Pllc P.o. Box 31649 Knoxville TN 37930 Ph: (865) 539-4000 | William M. Hogan, Md, Pllc 1432 Hickey Road Knoxville TN 37932 Ph: (865) 539-4000 |
| NPI Number | 1891222634 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Medicare PECOS PAC ID | 3173897485 |
|---|---|
| Medicare Enrollment ID | O20170926002515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891222634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD14221 (Tennessee) | Primary |
| Provider Name | William M Hogan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164527263 PECOS PAC ID: 1951390855 Enrollment ID: I20040506001598 |
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