Concierge Clinic

NPI #1942885611 in Leesburg, Georgia

Provider Information

NPI Number: 1942885611
Entity Type: Organization
Organization Name: Concierge Clinic
Primary Specialty: Family Medicine
Enumeration Date: Mar 15, 2021
Last Updated: Mar 30, 2021

Practice Location

Address: 152 STATION DR
City: Leesburg
State: Georgia
ZIP Code: 31763-5631
Phone: (229) 814-8426

Authorized Official

Name: DR. AUDREA VAUGHAN, DO
Title: MEDICAL DIRECTOR
Phone: (954) 825-7615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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