Individual
MS. MEGAN E BOGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCH-MH NP -C
Contact information
Practice address
130 EDINBURGH SOUTH DR, SUITE 208, CARY, NC 27511-7902
(919) 467-4745
(919) 467-5299
Mailing address
4300 SAPPHIRE CT 110, GREENVILLE, NC 27834-9079
(252) 830-7561
(252) 413-0932
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
005001131
NC
363LF0000X
Family Nurse Practitioner
005001131
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0050-01131
NC
Other
Enumeration date
07/11/2006
Last updated
07/10/2015
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