Individual provider · Type 1 NPI

Shae Boguslawski

Student in an Organized Health Care Education/Training Program · Johns Creek, GA

NPI number 1821571613 Active

Practice location

10692 Medlock Bridge Rd Ste 100A
Johns Creek, GA 30097-8497

Call (404) 446-2496 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Obstetrics & Gynecology Physician 207V00000X113174 (GA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1821571613

Shae Boguslawski's National Provider Identifier is 1821571613, issued on Sep 8, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Johns Creek, GA. The record was last updated on Jun 11, 2026.