Individual
SHELBY BOGGUS KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4181 HOSPITAL DRIVE NE, SUITE 204, COVINGTON, GA 30014
(770) 788-6534
Mailing address
4181 HOSPITAL DR NE STE 204, COVINGTON, GA 30014-2541
(770) 788-6534
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7686
GA
Other
Enumeration date
09/16/2015
Last updated
02/20/2019
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