Mr Larry Alan Vaughn, MD | |
705 Dixie St, Carrollton, GA 30117-3818 | |
(770) 838-8929 | |
(770) 838-8930 |
Full Name | Mr Larry Alan Vaughn |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 705 Dixie St, Carrollton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306929864 | NPI | - | NPPES |
000374195E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 029812 (Georgia) | Secondary |
208M00000X | Hospitalist | 029812 (Georgia) | Primary |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
Mailing Address | Practice Location Address |
---|---|
Mr Larry Alan Vaughn, MD 705 Dixie St, Carrollton, GA 30117-3818 Ph: (770) 838-8929 | Mr Larry Alan Vaughn, MD 705 Dixie St, Carrollton, GA 30117-3818 Ph: (770) 838-8929 |
Steven Allen Eubanks Jr., M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 148 Clinic Ave, Carrollton, GA 30117 Phone: 770-838-8640 Fax: 770-838-8650 | |
Vaughn S Clagette, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-838-8929 Fax: 770-838-8930 | |
Dr. Suzanne Cahill Manley, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 148 Clinic Ave, Carrollton, GA 30117 Phone: 770-838-8640 Fax: 770-838-8650 | |
Dr. Holley Elizabeth Beam, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 148 Clinic Ave, Carrollton, GA 30117 Phone: 770-838-8640 Fax: 770-838-8650 |