DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL DAHYL BOGGAN, M.D.

Active

MR. MICHAEL DAHYL BOGGAN, M.D. is a General Practice healthcare provider located in KINGSPORT, Tennessee. NPI 1003844812 is currently active in the NPPES registry. Verify at CMS.

General Practice · KINGSPORT, TN

Registration Details

NPI Number
1003844812
Provider Type
Individual
Gender
Male
NPI Issued
Jun 29, 2006 (20.095638947283 yrs)
Last Updated
Aug 6, 2012
Licenses
21139 (TN)
0101246769 (VA)

Practice Information

Address
111 W STONE DR
SUITE 100
KINGSPORT, TN, 376606027
Browse TN providers · Browse ZIP 37660
Phone
4232475197
Fax
4232475254
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice

Other General Practice Providers in KINGSPORT, TN

Name Credential NPI
SAMUEL B HILTON DO 1407379746
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.