Mary Kathryn Boggs
Surgeon Surgical Critical Care
3647 J Dewey Gray Cir Ste 200
Augusta
, Georgia 30909-2205
Mary Kathryn Boggs
Surgeon Surgical Critical Care
3647 J Dewey Gray Cir Ste 200
Augusta
, Georgia 30909-2205
(706) 868-8375
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
Languages spoken
- English
Location
First Address
- Mary Kathryn Boggs
- Po Box 3548
- Augusta, GA
- Zip : 30914-3548
- Fax : (706) 868-8375
- Phone : (706) 863-9595
Second Address
- Mary Kathryn Boggs
- 3647 J Dewey Gray Cir Ste 200
- Augusta, GA
- Zip : 30909-2205
- Fax : (706) 504-9703
- Phone : (706) 504-9712
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 80269 | GA |
| Y | 208600000X | Surgeon | 80269 | GA |
| N | 2086S0102X | Surgical Critical Care | 80269 | GA |
National Provider Identifier
| NPI | 1033389218 |
|---|---|
| Provider Name | Mary Kathryn Boggs |
| First Address | Augusta, GA 30914-3548 |
| Second Address | Augusta, GA 30909-2205 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/03/2008 |
| Last Update Date | 29/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.