Individual
MR. LARRY ALAN VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 838-8929
(770) 838-8930
Mailing address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 838-8929
(770) 838-8930
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
029812
GA
208M00000X
Hospitalist Physician
Primary
029812
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000374195E
—
GA
Enumeration date
10/20/2006
Last updated
02/20/2019
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