Vaughn, Candace Frederick

Vaughn, Candace Frederick is an individual health care provider with primary practice located at 750 Townpark Lane Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw GA 30144. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vaughn, Candace Frederick can be contacted via phone (770) 514-5401.

Contact Information

Primary practice address
750 Townpark Lane Kaiser Permanente Townpark Comprehensive Medical Center Kennesaw GA 30144
Phone: (770) 514-5401
Fax: (478) 218-0839
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 040809 Georgia

Profile Details

NPI number 1427054923
LBN Legal business name Vaughn, Candace Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Apr 13th, 2022 - about 2 years ago

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 1427054923 NPPES
Georgia MEDICAID 000744147F

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