Provider Demographics
NPI:1972338218
Name:HOGG, ALEXANDRA FRANCES
Entity type:Individual
Prefix:MISS
First Name:ALEXANDRA
Middle Name:FRANCES
Last Name:HOGG
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 1:3125 MEDLEY CT NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-6971
Mailing Address - Country:US
Mailing Address - Phone:770-608-7774
Mailing Address - Fax:
Practice Address - Street 1:3125 MEDLEY CT NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152-6971
Practice Address - Country:US
Practice Address - Phone:770-608-7774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program