Individual
BROOKES B VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
119 HARMONY XING STE 3, EATONTON, GA 31024-9571
(706) 485-4004
(706) 262-2986
Mailing address
2179 MADDISON AVE, WATKINSVILLE, GA 30677-3171
(706) 551-0426
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5008187
NC
363LP2300X
Primary Care Nurse Practitioner
RN289098
GA
363LW0102X
Women's Health Nurse Practitioner
Primary
RN289098
GA
Other
Enumeration date
11/06/2015
Last updated
02/26/2021
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