Individual
BRIAN VOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 E. 9TH STREET N., BLDG 4970 RM 221, FORT STEWART, GA 31314
(912) 425-1391
Mailing address
9 MULBERRY ST, FORT STEWART, GA 31315-1050
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
26NR09426700
NJ
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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