Mrs Torey Charlise Davis-bogan, SA-C, CST - Physician Assistant in Marietta, GA

Mrs Torey Charlise Davis-bogan, SA-C, CST is a Physician Assistant - Surgical based in Marietta, Georgia. Mrs Torey Charlise Davis-bogan is licensed to practice in Georgia (license number 18-399) and her current practice location is 3105 Rome Ct Sw, Marietta, Georgia. She can be reached at her office (for appointments etc.) via phone at (317) 664-0771.

NPI number for Mrs Torey Charlise Davis-bogan is 1003455874 and her current mailing address is 3105 Rome Ct Sw, Marietta, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003455874.

Contact Information

Mrs Torey Charlise Davis-bogan, SA-C, CST
3105 Rome Ct Sw,
Marietta, GA 30064-4423
(317) 664-0771
Not Available

Map and Direction




Provider's Profile

Full NameMrs Torey Charlise Davis-bogan
GenderFemale
SpecialityPhysician Assistant - Surgical
Location3105 Rome Ct Sw, Marietta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003455874
  • Provider Enumeration Date: 12/27/2019
  • Last Update Date: 02/21/2022

Medical Identifiers

Medical identifiers for Mrs Torey Charlise Davis-bogan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003455874NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 18-399 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Torey Charlise Davis-bogan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Torey Charlise Davis-bogan, SA-C, CST
3105 Rome Ct Sw,
Marietta, GA 30064-4423

Ph: (317) 664-0771
Mrs Torey Charlise Davis-bogan, SA-C, CST
3105 Rome Ct Sw,
Marietta, GA 30064-4423

Ph: (317) 664-0771

Reviews and Comments


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