Mr. Michael Dahyl Boggan
General Practice Physician
111 W Stone Dr Suite 100
Kingsport
, Tennessee 37660-6027
Mr. Michael Dahyl Boggan
General Practice Physician
111 W Stone Dr Suite 100
Kingsport
, Tennessee 37660-6027
(423) 247-5254
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Mr. Michael Dahyl Boggan
- 111 W Stone Dr Suite 100
- Kingsport, TN
- Zip : 37660-6027
- Fax : (423) 247-5254
- Phone : (423) 245-5197
Second Address
- Mr. Michael Dahyl Boggan
- 111 W Stone Dr Suite 100
- Kingsport, TN
- Zip : 37660-6027
- Fax : (423) 247-5254
- Phone : (423) 247-5197
Reviews
FAQs
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Is Mr. Michael Dahyl Boggan a sole practitioner?
Is Mr. Michael Dahyl Boggan accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208D00000X | General Practice Physician | 0101246769 | VA |
| Y | 208D00000X | General Practice Physician | 21139 | TN |
National Provider Identifier
| NPI | 1003844812 |
|---|---|
| Provider Name | Mr. Michael Dahyl Boggan |
| First Address | Kingsport, TN 37660-6027 |
| Second Address | Kingsport, TN 37660-6027 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2006 |
| Last Update Date | 06/08/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 010199743 | (05) | VA |
| 1000908 | (05) | TN |
| 3057903 | (05) | TN |
| 621112685 | UNITED HEALTH CARE (01) | TN |
| 65906208 | (05) | KY |
| D64913 | (02) | TN |
| P00262488 | (05) | KY |
| Z101 | UNITED HEALTHCARE OF THE RIVER VALLEY (01) | TN |
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.