Individual
MRS. VICKEY LYNN VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
351 W CAMDEN ST, THE WAREHOUSE AT CAMDEN YARDS SUITE 100, BALTIMORE, MD 21201-7912
(410) 735-8751
Mailing address
591 CHAPPELL MILL RD, MILNER, GA 30257-3328
(770) 789-4462
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RNO51617
GA
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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