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Individual

JACQUELINE VAUGHN KRAFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322
(404) 712-2000
Mailing address
1387 NEWTON AVE SE, ATLANTA, GA 30316-2011

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
075810
GA
2084A2900X
Neurocritical Care Physician
075810
GA
2084N0400X
Neurology Physician
075810
GA

Other

Enumeration date
05/18/2012
Last updated
06/19/2018
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