Individual
ANNEKE JANS BOGARDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, NP-C
Contact information
Practice address
1520 KNOX AVE, NORTH AUGUSTA, SC 29841-4010
(803) 278-4120
(803) 649-2027
Mailing address
1520 KNOX AVE, NORTH AUGUSTA, SC 29841-4010
(803) 278-4120
(803) 649-2027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3814
SC
Other
Enumeration date
04/22/2009
Last updated
03/19/2012
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