MR. Michael Dahyl Boggan, M.D.

NPI #1003844812 in Kingsport, Tennessee

Provider Information

NPI Number: 1003844812
Entity Type: Individual
Name: MR. Michael Dahyl Boggan, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Jun 29, 2006
Last Updated: Aug 6, 2012

Practice Location

Address: 111 W STONE DR
Address 2: SUITE 100
City: Kingsport
State: Tennessee
ZIP Code: 37660-6027
Phone: (423) 247-5197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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