Individual
KANDRA S VOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
705 DIXIE STREET, CARROLLTON, GA 30117
(770) 834-0751
(706) 596-4226
Mailing address
P.O. BOX 116186, ATLANTA, GA 30368-6186
(706) 320-2773
(706) 596-4226
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
071448
GA
390200000X
Student in an Organized Health Care Education/Training Program
TRN12182
FL
Other
Enumeration date
06/10/2008
Last updated
07/11/2016
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