Vaughan, Rolandine

Vaughan, Rolandine is an individual health care provider with primary practice located at 1862 Auburn Rd Ste 118-X1 , Dacula GA 30019-1676. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Vaughan, Rolandine can be contacted via phone (404) 906-6985.

Contact Information

Primary practice address
1862 Auburn Rd Ste 118-X1 Dacula GA 30019-1676
Phone: (404) 906-6985
Fax: (678) 302-7377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 005982 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002860 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005982 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10004230A Indiana

Profile Details

NPI number 1225284367
LBN Legal business name Vaughan, Rolandine
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2008
Last updated Mar 15th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225284367 NPPES
Georgia MEDICAID 00429217D

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