Individual
PAULETTE J. BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4756 GLENWOOD RD, DECATUR, GA 30035-1634
(678) 949-3367
Mailing address
2745 HAPEVILLE RD SW APT 401, ATLANTA, GA 30354-2076
(678) 949-3367
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
GA
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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