Doctor Name: | MRS. GALINA BOGDANOVA |
NPI Number: | 1669621025 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPA-C |
License Number: | 0010-01951 |
Business Practice Address: | 360 E Charity Rd Rose Hill, NC - 284588303 |
Business Phone Number: | 9102893086 |
Business Fax Number: | 9102892413 |
Mailing Address: | 360 E Charity Rd, ROSE HILL |
State: | NC |
Postal Code: | 284588303 |
Phone Number: | 9102893086 |
Fax Number: | 9102892413 |
NPI Enumeration Date: | 09/10/2008 |
NPI Last Update Date: | 04/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0010-01951 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |