Individual provider · Type 1 NPI

Michael Dahyl Boggan, MD

General Practice Physician · Kingsport, TN

NPI number 1003844812 Active

Practice location

111 W Stone Dr, Suite 100
Kingsport, TN 37660-6027

Fax (423) 247-5254

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X21139 (TN)
General Practice Physician 208D00000X0101246769 (VA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

25 other providers at this address

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About NPI 1003844812

Michael Dahyl Boggan, MD's National Provider Identifier is 1003844812, issued on Jun 29, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Kingsport, TN. The record was last updated on Aug 6, 2012.