MR. BRENNAN VAUGHN, PA-C

Physician Assistant

Active Individual
NPI: 1689113250

Practice Address

4204 CLAY ST
Vicksburg, MS 39183

Phone: (601) 619-7717

Specialties

Specialty Code Primary License
Military Health Care Provider 171000000X No PA00323 (MS)
Physician Assistant 363A00000X Yes PA00323 (MS)

Frequently Asked Questions

NPI 1689113250 is the National Provider Identifier for MR. BRENNAN VAUGHN, PA-C, a Physician Assistant provider located in Vicksburg, MS. This NPI was enumerated on February 15, 2017.
MR. BRENNAN VAUGHN, PA-C practices at 4204 CLAY ST, Vicksburg, MS 39183.

Quick Facts

NPI
1689113250
Type
Individual
Enumerated
Feb 15, 2017
Last Updated
Feb 1, 2019

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