Individual
CLIFFORD BOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1325 TIMBER DR E, GARNER, NC 27529-6924
(919) 781-4060
(919) 781-5246
Mailing address
3001 EDWARDS MILL RD STE 200, RALEIGH, NC 27612-5243
(919) 781-4060
(919) 781-5246
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP051697T
NC
225100000X
Physical Therapist
Primary
P24562
NC
Other
Enumeration date
08/08/2023
Last updated
01/28/2026
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