MRS. Sophia Vaughn

NPI #1912555103 in Lagrange, Georgia

Provider Information

NPI Number
1912555103
Entity Type
Individual
Name
MRS. Sophia Vaughn
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Enumeration Date
Aug 30, 2019
Last Updated
Aug 30, 2019

Practice Location

Address
122 GORDON COMMERCIAL DR STE C
State
Georgia
ZIP Code
30240-5754
Phone
(706) 845-4054

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator
Contractor

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