Individual
MICHAEL ALAN VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
214 HOSPITAL CIR, BLAIRSVILLE, GA 30512-3102
(706) 745-2111
(706) 745-3114
Mailing address
214 HOSPITAL CIR, BLAIRSVILLE, GA 30512-3102
(706) 745-2111
(706) 745-3114
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001573
GA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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