Individual
JEREMY BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
473 CAMP ANN BAILEY RD, CALDWELL, WV 24925-7150
(304) 646-2400
Mailing address
473 CAMP ANN BAILEY RD, CALDWELL, WV 24925-7150
(304) 646-2400
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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