Individual
MRS. JULIE G BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1123 SPRING ST, GREENWOOD, SC 29646-3833
(864) 450-9036
(864) 450-9038
Mailing address
104 WELLS AVE, GREENWOOD, SC 29646-3837
(864) 725-4673
(864) 725-7424
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
946
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0789
—
SC
Enumeration date
08/07/2006
Last updated
10/30/2024
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