Provider Demographics
NPI:1154199321
Name:HOGGARD, ANN SKULSKIE (PA-C, RDCS - AE/PE)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:SKULSKIE
Last Name:HOGGARD
Suffix:
Gender:F
Credentials:PA-C, RDCS - AE/PE
Other - Prefix:
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Other - Middle Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:507 WORKHORSE LN
Mailing Address - Street 2:
Mailing Address - City:AYDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28513-7619
Mailing Address - Country:US
Mailing Address - Phone:252-714-5268
Mailing Address - Fax:
Practice Address - Street 1:115 HEART DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-8982
Practice Address - Country:US
Practice Address - Phone:252-744-4400
Practice Address - Fax:252-744-3987
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-13907363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant