Organization
CONCIERGE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDREA VAUGHAN DO (MEDICAL DIRECTOR)
(954) 825-7615
Entity
Organization
Contact information
Practice address
152 STATION DR, LEESBURG, GA 31763-5631
(229) 814-8426
Mailing address
152 STATION DR, LEESBURG, GA 31763-5631
(229) 814-8426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/30/2021
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