Vaughn, Larry Alan

Vaughn, Larry Alan is an individual health care provider with primary practice located at 705 Dixie St , Carrollton GA 30117-3818. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Vaughn, Larry Alan can be contacted via phone (770) 838-8929.

Contact Information

Primary practice address
705 Dixie St Carrollton GA 30117-3818
Phone: (770) 838-8929
Fax: (770) 838-8930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 029812 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 029812 Georgia

Profile Details

NPI number 1306929864
LBN Legal business name Vaughn, Larry Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Feb 20th, 2019 - about 6 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 1306929864 NPPES
Georgia MEDICAID 000374195E

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