Organization
DRAKES CREEK EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(404) 450-4684
Entity
Organization
Contact information
Practice address
1801 ASHLEY CIR, BOWLING GREEN, KY 42104-3362
(270) 793-2185
(270) 793-2055
Mailing address
PO BOX 37931, PHILADELPHIA, PA 19101-0531
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100242290
—
KY
Enumeration date
04/26/2013
Last updated
11/14/2023
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