Provider Demographics
NPI:1164551081
Name:HOGAN, RHONDA COREY (DMD)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:COREY
Last Name:HOGAN
Suffix:
Gender:F
Credentials:DMD
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Mailing Address - Street 1:1380 PEACHTREE INDUSTRIAL BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-3769
Mailing Address - Country:US
Mailing Address - Phone:770-614-8914
Mailing Address - Fax:770-614-8917
Practice Address - Street 1:1380 PEACHTREE INDUSTRIAL BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-3769
Practice Address - Country:US
Practice Address - Phone:770-614-8914
Practice Address - Fax:770-614-8917
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2012-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GADN0132791223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry