Individual
KELLI PHELPS VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
855 N CHURCH ST, THOMASTON, GA 30286-3622
(706) 648-2109
Mailing address
1295 HENDRICKS CHURCH RD, THOMASTON, GA 30286-2042
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014312
GA
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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