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Organization

PUTNAM PHYSICIAN PRACTICES

Active
Other names
PUTNAM NEUROLOGY ASSOCIATES
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY D VAUGHN (VICE PRESIDENT)
(615) 372-8500
Entity
Organization

Contact information

Practice address
800 ZEAGLER DR, SUITE 230, PALATKA, FL 32177-3883
(386) 326-7793
Mailing address
800 ZEAGLER DR, SUITE 230, PALATKA, FL 32177-3883
(386) 326-7793

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
12/11/2011
Last updated
12/11/2011
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