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Organization

NEW LIFE PROGRESSIVE HEALTH

Active
Other names
New Life Wellness with Rabia
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RABIA L VAUGHNS PA-C (OWNER)
(706) 688-9355
Entity
Organization

Contact information

Practice address
3515 BRASELTON HWY, SUITE E-2, DACULA, GA 30019-5926
(706) 688-9355
Mailing address
3472 OLD THOMPSON MILL RD, BUFORD, GA 30519-5403
(404) 234-4653

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5609
GA

Other

Enumeration date
02/20/2017
Last updated
02/20/2017
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