Provider Demographics
NPI:1255470027
Name:HOGGARD, KAREN
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:HOGGARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1747 US HIGHWAY 17 N
Mailing Address - Street 2:
Mailing Address - City:MERRY HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27957-9562
Mailing Address - Country:US
Mailing Address - Phone:252-482-4547
Mailing Address - Fax:252-482-3001
Practice Address - Street 1:1747 US HIGHWAY 17 N
Practice Address - Street 2:
Practice Address - City:MERRY HILL
Practice Address - State:NC
Practice Address - Zip Code:27957-9562
Practice Address - Country:US
Practice Address - Phone:252-482-4547
Practice Address - Fax:252-482-3001
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3025376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601290Medicaid
NC3408405Medicaid