Individual
DR. MARY BELL HANCOCK VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3448 VINEVILLE AVE, MACON, GA 31204-1867
(478) 405-0045
(478) 405-0054
Mailing address
3448 VINEVILLE AVE, MACON, GA 31204-1867
(478) 405-0045
(478) 405-0054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
049552
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00960165A
—
GA
01
—
049552
MEDICAL LICENSE
GA
01
—
1497710750
NPI
GA
Enumeration date
04/19/2006
Last updated
03/28/2025
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