# EPMG TELEMED PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508317728
- **Authorized official:** KAREN VAUGHN (OFFICER)
- **Authorized official phone:** (404) 450-4684

## Contact information

- **Practice address:** 2000 GREEN RD STE 300, ANN ARBOR, MI 48105-1575
- **Practice address phone:** (269) 983-8300
- **Mailing address:** PO BOX 80321, PHILADELPHIA, PA 19101-1321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | C090227 | WI | Yes |

## Other

- **Enumeration date:** 10/24/2016
- **Last updated:** 09/29/2023