Search › Georgia › 101YP2500X
Tamara Bogan
NPI 1992155931 · on the registry since 2016 · sole proprietor
Practice
- Address
- 935 Prince Rd Se
Ludowici, GA 31316 - Phone
- (229) 977-4501
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-06-21
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