| Vogt Family Group Llc | |
|
138 Canal St Ste 506 Pooler GA 31322-4049 | |
| (912) 421-1890 | |
| Not Available |
| Full Name | Vogt Family Group Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 138 Canal St Ste 506, Pooler, Georgia |
| Authorized Official Name and Position | Melody Vogt (OWNER) |
| Authorized Official Contact | 4783197554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vogt Family Group Llc 138 Canal St Ste 506 Pooler GA 31322-4049 Ph: () - | Vogt Family Group Llc 138 Canal St Ste 506 Pooler GA 31322-4049 Ph: (912) 421-1890 |
| NPI Number | 1780246199 |
|---|---|
| Provider Enumeration Date | 07/05/2019 |
| Last Update Date | 07/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780246199 | NPI | - | NPPES |
| 007068 | Other | GA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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