Individual
KEIONNA VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
575 PHARR RD NE UNIT 12073, ATLANTA, GA 30355-4022
(786) 332-1094
Mailing address
575 PHARR RD NE UNIT 12073, ATLANTA, GA 30355-4022
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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