Individual
MARY KATHRYN BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3647 J DEWEY GRAY CIR STE 200, AUGUSTA, GA 30909-2205
(706) 504-9712
(706) 504-9703
Mailing address
PO BOX 3548, AUGUSTA, GA 30914-3548
(706) 863-9595
(706) 868-8375
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
80269
GA
2086S0102X
Surgical Critical Care Physician
80269
GA
Other
Enumeration date
03/04/2008
Last updated
07/29/2019
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