Tammy Bogan

NPI #1952090698 in Jefferson, Georgia

Provider Information

NPI Number: 1952090698
Entity Type: Individual
Name: Tammy Bogan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: May 8, 2023
Last Updated: May 8, 2025

Practice Location

Address: 2012 LANTERN DR
City: Jefferson
State: Georgia
ZIP Code: 30549
Phone: (404) 210-8681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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