Bogert, Grace
Bogert, Grace is an individual health care provider with primary practice located at 210 Village Center Pkwy , Stockbridge GA 30281-9044. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bogert, Grace can be contacted via phone (770) 474-5952.Contact Information
Primary practice address
210 Village Center Pkwy
Stockbridge GA 30281-9044
Phone: (770) 474-5952
Fax: (770) 474-1300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 003631 | Georgia |
Profile Details
| NPI number | 1831195262 |
|---|---|
| LBN Legal business name | Bogert, Grace |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Apr 17th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831195262 | NPPES |
| Georgia | Other | 6537 | KAISER |
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