Provider Demographics
NPI:1003000159
Name:VOGES, MARSHA SUSAN (FNP)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:SUSAN
Last Name:VOGES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4115 DORCHESTER ROAD
Mailing Address - Street 2:CONCENTRA
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405
Mailing Address - Country:US
Mailing Address - Phone:843-554-6737
Mailing Address - Fax:843-554-3356
Practice Address - Street 1:4115 DORCHESTER ROAD
Practice Address - Street 2:CONCENTRA MEDICAL CENTER
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405
Practice Address - Country:US
Practice Address - Phone:843-554-6737
Practice Address - Fax:843-554-3356
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC810363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP099269295OtherMEDICARE PTAN
SCNP0404Medicaid
SCNP0404Medicaid
SC9295Medicare PIN
SCP099269295OtherMEDICARE PTAN