Bogar, Kristina Nichole

Bogar, Kristina Nichole is an individual health care provider with primary practice located at 3450 Acworth Due West Rd Bldg 200, Suite 220, Kennesaw GA 30144-3335. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bogar, Kristina Nichole can be contacted via phone (770) 456-5941.

Contact Information

Primary practice address
3450 Acworth Due West Rd Bldg 200, Suite 220 Kennesaw GA 30144-3335
Phone: (770) 456-5941
Fax: (770) 456-5942
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M0667 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 061943 Georgia

Profile Details

NPI number 1497793186
LBN Legal business name Bogar, Kristina Nichole
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jan 23rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497793186 NPPES
Georgia MEDICAID 863007771D
Georgia MEDICAID 1795445

Popular Providers