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
Phone: (706) 353-0093
Fax: (703) 353-0096
Website:
Health care specialties
| Specialty | Code | License # | 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 19 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 | 1124242219 | NPPES |
| Georgia | Other | STATE LICENSE | 004329 |
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