Individual
JOSEPH BOGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1019 PHYSICIANS DR STE C, CHARLESTON, SC 29414-5746
(843) 790-5646
Mailing address
3631 BAGLEY DR, MOUNT PLEASANT, SC 29466-7184
(404) 909-7554
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9977
SC
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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