Individual
MR. BENNY D BOGGS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
CORNER OF SIDNEY & LAMONT (JOHNSON CITY), JAMES H. QUILLEN VAMC, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
CORNER OF SIDNEY & LAMONT (JOHNSON CITY), JAMES H. QUILLEN VAMC, MOUNTAIN HOME, TN 37684
(423) 926-1171
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
2450
TN
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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