Individual
DR. ROBERT A. VAUGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.,M.S.
Contact information
Practice address
2701 US HIGHWAY 17, SUITE 2B, RICHMOND HILL, GA 31324-3799
(912) 756-2309
Mailing address
PO BOX 1918, RICHMOND HILL, GA 31324-1918
(912) 756-2309
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11121
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
813625
UNITED CONCORDIA
GA
Enumeration date
12/13/2010
Last updated
04/19/2012
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