New Life Progressive Health

NPI #1891234159 in Dacula, Georgia

Provider Information

NPI Number: 1891234159
Entity Type: Organization
Organization Name: New Life Progressive Health
Primary Specialty: Physician Assistant
Enumeration Date: Feb 20, 2017
Last Updated: Feb 20, 2017

Practice Location

Address: 3515 BRASELTON HWY
Address 2: SUITE E-2
City: Dacula
State: Georgia
ZIP Code: 30019-5926
Phone: (706) 688-9355

Authorized Official

Name: MS. RABIA L VAUGHNS, PA-C
Title: OWNER
Phone: (706) 688-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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