Lori Crenshaw Vaughn, | |
610 Sparta Rd, Sandersville, GA 31082-1860 | |
(478) 240-2176 | |
(478) 240-2380 |
Full Name | Lori Crenshaw Vaughn |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 610 Sparta Rd, Sandersville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649402686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT009676 (Georgia) | Primary |
Provider Name | Evans Rehabilitation Services, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093715773 PECOS PAC ID: 2769467034 Enrollment ID: O20060119000382 |
Mailing Address | Practice Location Address |
---|---|
Lori Crenshaw Vaughn, 610 Sparta Rd, Sandersville, GA 31082-1860 Ph: () - | Lori Crenshaw Vaughn, 610 Sparta Rd, Sandersville, GA 31082-1860 Ph: (478) 240-2176 |
Cynthia J. Roche, Rpt Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 618 Ferncrest Dr, Sandersville, GA 31082 Phone: 478-552-7878 | |
Solomon Agyeman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 610 Sparta Wood, Sandersville, GA 31082 Phone: 478-240-2176 | |
Mrs. Michelle Prince Evans, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 Sparta Rd, Sandersville, GA 31082 Phone: 478-240-2176 Fax: 478-240-2380 | |
Cynthia J. Roche, R.P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 618 Ferncrest Drive, Sandersville, GA 31082 Phone: 478-552-7878 Fax: 478-552-1020 |