BRENNAN FOSTER VAUGHN

VICKSBURG, MS
NPI1689113250
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MS  PA00323)
Additional Taxonomies171000000X Military Health Care Provider
(Licence: MS  PA00323)
Enumeration Date2017-02-15
Last Update Date2019-02-01
Business Address
Mr. BRENNAN FOSTER VAUGHN PA-C
4204 CLAY ST
VICKSBURG, MS 39183-3438
Phone number: 601-619-7717
Mailing Address
Mr. BRENNAN FOSTER VAUGHN PA-C
4204 CLAY ST
VICKSBURG, MS 39183-3438
Phone number: 601-619-7717