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1134598501
SHELBY BOGGUS KING
COVINGTON, GA
NPI
1134598501
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Former Name
SHELBY VIRGINIA BOGGUS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 7686)
Enumeration Date
2015-09-16
Last Update Date
2019-02-20
Business Address
SHELBY BOGGUS KING PA-C
4181 HOSPITAL DRIVE NE SUITE 204
COVINGTON, GA 30014
Phone number: 770-788-6534
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Mailing Address
SHELBY BOGGUS KING PA-C
4181 HOSPITAL DR NE STE 204
COVINGTON, GA 30014-2541
Phone number: 770-788-6534
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