Individual
DR. ANGELA MICHELLE DAUGHERTY FOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2450 ATLANTA HWY, STE 1601, CUMMING, GA 30040
(678) 513-0095
(678) 513-0706
Mailing address
6564 BLUEWATER DRIVE, BUFORD, GA 30518
(770) 945-5953
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO07643
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52187449002
BCBS
—
Enumeration date
01/23/2007
Last updated
07/08/2007
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