Individual
MRS. GRACETTA WASHINGTON BOGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
8456 PENTON PL, HARRISBURG, NC 28075-3601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
BOGA-99SP9
NC
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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