NPI
Tammy Bogan
NPI 1952090698
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2023-05-08
- Last updated
- 2025-05-08
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Specialties
Licenses
- License GA
- Number not in the file
- License GA
- 041435217
Location
- Practice location
- 2012 Lantern Dr
- City
- Jefferson GA
- Postal code
- 30549
- Phone
- (404) 210-8681
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Jefferson, GA. 232 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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