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Contact Information

KBOGGSPC
5435 SUGARLOAF PKWY
SUITE 1104
LAWRENCEVILLE, GA30043
 Phone: 678-358-6200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KBOGGSPC

NPI # 1386085280
LBN Legal business name KBOGGSPC
Authorized official KATHERINE BOGGS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2013
Last updated 07/09/2013 - About 13 years ago
Identifiers
GA License # CSW001288
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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