Jones, Vaughnette M

Jones, Vaughnette M is an individual health care provider with primary practice located at 4905 Courtney Dr , Forest Park GA 30297-1427. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jones, Vaughnette M can be contacted via phone (404) 366-3636.

Contact Information

Primary practice address
4905 Courtney Dr Forest Park GA 30297-1427
Phone: (404) 366-3636
Fax: (404) 362-0808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 065013 Georgia

Profile Details

NPI number 1811069909
LBN Legal business name Jones, Vaughnette M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Jun 12th, 2020 - 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 1811069909 NPPES
Georgia MEDICAID 003121817G
Georgia MEDICAID 003121817H

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