Individual
BYERLY VAUGHN HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
4061 VINEVILLE AVE, MACON, GA 31210-5039
(477) 394-0690
Mailing address
1062 FORSYTH ST, STE 1B, MACON, GA 31201-8638
(478) 394-0690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN215879
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN215879
APRN NURSING LICENSE
GA
Enumeration date
07/16/2015
Last updated
10/27/2025
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