Individual
REBECCA BOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 JUNIPER LN, MACON, GA 31220-7642
(478) 733-0504
Mailing address
311 JUNIPER LN, MACON, GA 31220-7642
(478) 733-0504
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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