Provider Demographics
NPI:1598953895
Name:BOGGS, JOSEPH NOTTINGHAM (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:NOTTINGHAM
Last Name:BOGGS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:659 SHADOW DANCE LN
Mailing Address - Street 2:
Mailing Address - City:BOILING SPRINGS
Mailing Address - State:SC
Mailing Address - Zip Code:29316-8333
Mailing Address - Country:US
Mailing Address - Phone:864-431-7850
Mailing Address - Fax:
Practice Address - Street 1:399 PEACHWOOD CENTRE DR
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-2588
Practice Address - Country:US
Practice Address - Phone:864-431-7850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3285111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor