Individual
COURTNEY VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2406 LIGHTHOUSE MANOR DR, GAINESVILLE, GA 30501-7401
(770) 536-4352
(770) 532-8165
Mailing address
2406 LIGHTHOUSE MANOR DR, GAINESVILLE, GA 30501-7401
(770) 536-4352
(770) 532-8165
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7851
GA
Other
Enumeration date
01/20/2016
Last updated
02/08/2017
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