SHAE BOGUSLAWSKI
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1821571613- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 10692 MEDLOCK BRIDGE RD STE 100A, JOHNS CREEK, GA, 300978497
- Phone
- (404) 446-2496
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Primary
Obstetrics & Gynecology
License: GA #113174