Individual
ALICIA ANNETTE BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2410 ATHERHOLT RD, LYNCHBURG, VA 24501-2148
(434) 200-2712
(434) 200-2851
Mailing address
2410 ATHERHOLT RD, LYNCHBURG, VA 24501-2148
(434) 200-2712
(434) 200-2851
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005335
VA
Other
Enumeration date
04/21/2016
Last updated
08/08/2016
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