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Individual

LINDA RITA BOGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
906 N US 421 HWY, CLINTON, NC 28328-0410
(910) 592-1462
Mailing address
906 N US 421 HWY, CLINTON, NC 28328-0410
(910) 592-1462

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
00005
WV
363AM0700X
Medical Physician Assistant
0010-05055
NC

Other

Enumeration date
06/13/2006
Last updated
07/08/2014
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