Bogdan, Carol Ann

Bogdan, Carol Ann is an individual health care provider with primary practice located at 2405 N Fraser St , Georgetown SC 29440-7764. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Bogdan, Carol Ann can be contacted via phone (843) 545-7274.

Contact Information

Primary practice address
2405 N Fraser St Georgetown SC 29440-7764
Fax: (843) 545-8315
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 27515 South Carolina

Profile Details

NPI number 1033102538
LBN Legal business name Bogdan, Carol Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Mar 23rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033102538 NPPES
South Carolina MEDICAID 275152
South Carolina MEDICAID 5900387

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