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

Mrs. Torey Charlise Davis-Bogan, SA-C, CST

Individual provider Surgical Physician Assistant · NPI 1003455874

Mrs. Torey Charlise Davis-Bogan, SA-C, CST is a Surgical Physician Assistant in Marietta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2019

Practice location Address checks out

3105 Rome Ct SW
Marietta, GA 30064-4423
Phone: (317) 664-0771
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 18-399 (GA)

Record details

NPI number1003455874
Entity typeIndividual (Type 1)
GenderFemale
Credentials SA-C , CST
Sole proprietorYes
NPI enumeratedDecember 27, 2019
Last updated in NPPESFebruary 21, 2022
Certification dateFebruary 21, 2022

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