Most Relevant Information
Provider Data
| NPI Number: | 1003455874 |
| Provider Name: | TOREY CHARLISE DAVIS-BOGAN SA-C, CST |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | 18-399 |
Most Important Dates
| Enumeration Date: | 12/27/2019 |
| Last Updated: | 02/21/2022 |
Provider Practice Location
3105 ROME CT SW
MARIETTA
GA
300644423
Practice Location Phone/Fax
| Phone: | 3176640771 |
| Fax: |
Provider Mailing Location
3105 ROME CT SW
MARIETTA
GA
300644423
Provider Mailing Phone/Fax
| Phone: | 3176640771 |
| Fax: |