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William Boggus

NPI 1285427732 · on the registry since 2025 · sole proprietor

Practice

Address
1210 Mariners Way Se
Conyers, GA 30013
Phone
(352) 278-0513
Fax
(352) 278-0513

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia