Williams, Vaughn
Williams, Vaughn is an individual health care provider with primary practice located at 812 S Park St , Carrollton GA 30117-4412. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Williams, Vaughn can be contacted via phone (770) 830-9517.Contact Information
Primary practice address
812 S Park St
Carrollton GA 30117-4412
Phone: (770) 830-9517
Fax: (770) 830-5957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 004504 | Georgia |
Profile Details
| NPI number | 1154385094 |
|---|---|
| LBN Legal business name | Williams, Vaughn |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Sep 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154385094 | NPPES |
| Georgia | MEDICAID | 00658699C |
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