Individual
EARNEST VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
231 E RIDGE CT, JACKSONVILLE, NC 28540-7622
(910) 581-3986
Mailing address
231 E RIDGE CT, JACKSONVILLE, NC 28540-7622
(910) 581-3986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17054
NC
Other
Enumeration date
12/28/2015
Last updated
01/31/2019
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