NPI age
6 years
Enumerated 2019-12-27
● Active
Type 1 · Individual
Mrs. Torey Charlise Davis-Bogan, SA-C, CST
Davis-Bogan is 1 of 49 surgical (physician assistant) providers in Marietta and 1 of 637 in Georgia.
Primary specialty
Surgical (Physician Assistant)
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-02-21
Source: CMS NPPES provider record
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 637 active surgical (physician assistant) providers in Georgia.
NPI age
6 years
↓ 7 yr below median (13 yr)
State licenses
1 state
20% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2019 → 2022
2019-12Enumerated in NPPES
2019
2022
Where they practice
Practice location
3105 Rome Ct Sw
Marietta, GA 300644423
Mailing address
3105 Rome Ct Sw
Marietta, GA 300644423
Specialties
-
Physician Assistant PrimaryCMS NPPES uses NUCC taxonomy code 363AS0400X for provider records classified as Surgical within Physician Assistant. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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