Provider Demographics
NPI:1750330197
Name:BOGGS, VICKIE G (MD)
Entity Type:Individual
Prefix:DR
First Name:VICKIE
Middle Name:G
Last Name:BOGGS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:VICKIE
Other - Middle Name:G
Other - Last Name:PARRISH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8407 ROCKBRIDGE CIRCLE
Mailing Address - Street 2:MONTGOMERY
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36616-0725
Mailing Address - Country:US
Mailing Address - Phone:334-313-0131
Mailing Address - Fax:
Practice Address - Street 1:8407 ROCKBRIDGE CIRCLE
Practice Address - Street 2:MONTGOMERY
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36616-0725
Practice Address - Country:US
Practice Address - Phone:334-313-0131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14172207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC78775Medicare UPIN