Individual
CAROL ANN BOGDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2405 N FRASER ST, GEORGETOWN, SC 29440-7764
(843) 545-7274
(843) 545-8315
Mailing address
PO BOX 1209, MURRELLS INLET, SC 29576-1209
(843) 652-8220
(843) 527-7080
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
27515
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275152
—
SC
05
—
5900387
—
NC
Enumeration date
08/30/2005
Last updated
03/23/2021
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