Provider Demographics
NPI:1831143304
Name:VOEGELE, STANFORD (MD)
Entity Type:Individual
Prefix:DR
First Name:STANFORD
Middle Name:
Last Name:VOEGELE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:STANFORD
Other - Middle Name:
Other - Last Name:VOEGELE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1107 MEMORIAL DR
Mailing Address - Street 2:SUITE300
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-8662
Mailing Address - Country:US
Mailing Address - Phone:706-226-3139
Mailing Address - Fax:706-278-6606
Practice Address - Street 1:1107 MEMORIAL DR
Practice Address - Street 2:SUITE 300
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-8662
Practice Address - Country:US
Practice Address - Phone:706-226-3139
Practice Address - Fax:706-278-6606
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA57201207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
11SCHNJMedicare PIN
GAF42126Medicare UPIN