Individual
JAMES BOSARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50141 VOTECH RD, ABERDEEN, MS 39730-9029
(662) 369-1655
Mailing address
456 PASTURE RD, PERKINSTON, MS 39573-3383
(228) 860-7841
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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