NPI 1003455874

Torey Charlise Davis-Bogan, SACCST

Practitioner Surgical Physician Assistant Marietta, GA

Practice location

Address: 3105 Rome CT SW, Marietta, GA 30064-4423
Phone: (317) 664-0771

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 18-399 (GA)

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Registry record

NPI: 1003455874
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Dec 2019
Record last updated: 21 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.