Mr Michael Dahyl Boggan, MD | |
111 W Stone Dr, Suite 100, Kingsport, TN 37660-6027 | |
(423) 247-5197 | |
(423) 247-5254 |
Full Name | Mr Michael Dahyl Boggan |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 111 W Stone Dr, Kingsport, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003844812 | NPI | - | NPPES |
1000908 | Medicaid | TN | |
3057903 | Medicaid | TN | |
P00262488 | Medicaid | KY | |
010199743 | Medicaid | VA | |
621112685 | Other | TN | UNITED HEALTH CARE |
65906208 | Medicaid | KY | |
Z101 | Other | TN | UNITED HEALTHCARE OF THE RIVER VALLEY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 21139 (Tennessee) | Primary |
208D00000X | General Practice | 0101246769 (Virginia) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Dahyl Boggan, MD 111 W Stone Dr, Suite 100, Kingsport, TN 37660-6027 Ph: (423) 245-5197 | Mr Michael Dahyl Boggan, MD 111 W Stone Dr, Suite 100, Kingsport, TN 37660-6027 Ph: (423) 247-5197 |
Dr. Michael Sanders Wysor, MD,PH.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 5400 Fort Henry Dr, Suite10, Kingsport, TN 37663 Phone: 423-239-6791 |