MEDICARE: MRS. SARAH BRANYON VOGES APRN, ATC, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer		SC
2	163WX0800X	Orthopedic Registered Nurse	108491	SC
3	363LF0000X	Family Nurse Practitioner	19288	SC
4	163WR0006X	Registered Nurse First Assistant	108491	SC

General Provider Information

NPI Number	:	1154433852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH BRANYON VOGES APRN, ATC, FNP-C

Provider Business Mailing Address
First Line	:	103 SUMMER VIEW RD
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29483-8368
Country	:	US
Telephone Number	:	843-200-6327
Fax Number	:

Provider Business Practice Location Address
First Line	:	851 LEONARD FULGHUM DR STE 101
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-3793
Country	:	US
Telephone Number	:	843-971-9350
Fax Number	:	943-971-9351

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	02/18/2015

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