Search › Georgia › 172A00000X
Tammy Bogan
NPI 1952090698 · on the registry since 2023
Practice
- Address
- 2012 Lantern Dr
Jefferson, GA 30549 - Phone
- (404) 210-8681
- Organisation at this address
- Tdb Community Transport
Tdb Community Transport Llc
Tdb Community Transport LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Also registered as
- 172A00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia