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1508320086
MATTHEW W. BOGART
CHARLESTON, SC
NPI
1508320086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 21740)
Enumeration Date
2019-01-29
Last Update Date
2022-08-18
Business Address
MATTHEW W. BOGART APRN
96 JONATHAN LUCAS STREET CSB 822, MSC 624
CHARLESTON, SC 29425-5294
Phone number: 843-985-0999
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Mailing Address
MATTHEW W. BOGART APRN
PO BOX 530062
ATLANTA, GA 30353-0062
Phone number: 843-695-6071
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