Individual
MRS. ROBIN MATNEY BOGGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2160 FOUNTAIN DR, SUITE D, SNELLVILLE, GA 30078-7022
(770) 982-7790
(770) 982-7795
Mailing address
2160 FOUNTAIN DR, SUITE D, SNELLVILLE, GA 30078-7022
(770) 982-7790
(770) 982-7795
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN163394
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN163394
ANCC
GA
Enumeration date
09/17/2008
Last updated
09/17/2008
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