Individual
JASON PATRICK VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3754 HIRAM ACWORTH HWY STE A, DALLAS, GA 30157-3275
(770) 443-0090
Mailing address
3754 HIRAM ACWORTH HWY STE A, DALLAS, GA 30157-3275
(770) 443-0090
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007531
GA
Other
Enumeration date
06/18/2007
Last updated
02/12/2008
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