Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael Dahyl Boggan, MD

Individual provider General Practice Physician · NPI 1003844812

Mr. Michael Dahyl Boggan, MD is a General Practice Physician in Kingsport, Tennessee. Licensed in Tennessee and Virginia. Registered with an NPI since 2006.

Licensed in
TN, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

111 W Stone Dr Ste 100
Kingsport, TN 37660-6027
Phone: (423) 247-5197
Fax: (423) 247-5254
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 21139 (TN)
General Practice Physician Taxonomy 208D00000X · Licence 0101246769 (VA)

Record details

NPI number1003844812
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESAugust 6, 2012

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