Individual
REBECCA YOUNGBLOOD VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
148 BILL CARRUTH PKWY, STE 280, HIRAM, GA 30141-3754
(678) 363-3343
(678) 363-3380
Mailing address
148 BILL CARRUTH PKWY, SUITE 280, HIRAM, GA 30141-3754
(678) 363-3343
(678) 363-3380
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
033899
GA
Other
Enumeration date
08/07/2006
Last updated
12/17/2009
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