NPI 1306472535

Jack S. Hogan

Practitioner General Care Certified Respiratory Therapist North Myrtle Beach, SC

Practice location

Address: 773 Main St, North Myrtle Beach, SC 29582-3029
Phone: (843) 269-6737
Fax: (843) 281-0126

Registered specialties

General Care Certified Respiratory Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2278G1100X Licence 4417 (SC)

Other Respiratory Therapist, Certified providers in South Carolina →

Registry record

NPI: 1306472535
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Mar 2020
Record last updated: 19 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.