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Individual
RHONDA SULENE VAUGHN
Active
Individual
RHONDA SULENE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002308
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10052061
AMERIGROUP
GA
01
—
127433
PEACH STATE HEALTH PLAN
GA
01
—
340906
WELLCARE OF GEORGIA
GA
01
—
PT002308
PRACTICE LICENSE
GA
Enumeration date
01/03/2007
Last updated
07/08/2007
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