Individual
CRYSTAL VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 MITCHELL BRIDGE RD, ATHENS, GA 30606-2043
(706) 389-6789
Mailing address
750 CLEMENTS RD, COMER, GA 30629-2837
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN245378
GA
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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