Individual provider · Type 1 NPI

Torey Charlise Davis-Bogan, SA-C, CST

Surgical Physician Assistant · Marietta, GA

NPI number 1003455874 Active

Practice location

3105 Rome Ct SW
Marietta, GA 30064-4423

Call (317) 664-0771 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X18-399 (GA)

Surgical Physician Assistant: Definition to come...

Another provider at this address

Other surgical physician assistant providers in Marietta

See all in Marietta →

About NPI 1003455874

Torey Charlise Davis-Bogan, SA-C, CST's National Provider Identifier is 1003455874, issued on Dec 27, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Marietta, GA. The record was last updated on Feb 21, 2022.