Individual
MRS. ASHLEY NICOLE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
247 S MAIN ST, REIDSVILLE, GA 30453-4605
(912) 557-1000
(912) 557-1009
Mailing address
460 MALL BLVD, STE B, SAVANNAH, GA 31406-4801
(912) 644-5300
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005315
GA
Other
Enumeration date
03/05/2014
Last updated
10/13/2016
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