NPI 1013584663

Veorna Nichole Vaughn, NA

Practitioner Prosthetic/Orthotic Supplier Lithia Springs, GA

Practice location

Address: 1356 Trae Ln STE 419, Lithia Springs, GA 30122-3235
Phone: (404) 468-4710
Mailing address: 650 Ponce de Leon Ave NE STE 300, Atlanta, GA 30308-1864

Registered specialties (2)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 1535401 (TX)

Other Prosthetic/Orthotic Supplier providers in Georgia →

Prosthetic/Orthotic Supplier

Suppliers Taxonomy 335E00000X

Registry record

NPI: 1013584663
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2021
Record last updated: 10 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.