Vaughn, William M

Vaughn, William M is an individual health care provider with primary practice located at 1000 Hawthorne Ave Suite O, Athens GA 30606-2168. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Vaughn, William M can be contacted via phone (706) 353-0093.

Contact Information

Primary practice address
1000 Hawthorne Ave Suite O Athens GA 30606-2168
Fax: (703) 353-0096
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004329 Georgia

Profile Details

NPI number 1124242219
LBN Legal business name Vaughn, William M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Jul 8th, 2007 - about 17 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 1124242219 NPPES
Georgia Other STATE LICENSE 004329

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