Individual
DR. CANDACE FREDERICK VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 TOWNPARK LANE, KAISER PERMANENTE TOWNPARK COMPREHENSIVE MEDICAL CENTER, KENNESAW, GA 30144
(770) 514-5401
(478) 218-0839
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
(478) 218-0839
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
040809
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000744147F
—
GA
Enumeration date
06/21/2005
Last updated
04/13/2022
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