Organization
EPMG SOUTHWEST MICHIGAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(404) 450-4684
Entity
Organization
Contact information
Practice address
31 N SAINT JOSEPH AVE, NILES, MI 49120-2207
(269) 683-5510
Mailing address
1525 NW 62ND ST, FT LAUDERDALE, FL 33309-1831
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/17/2019
Last updated
08/18/2023
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