Provider Demographics
NPI:1508740572
Name:VAUGHN, CIARA JADE (CSFA)
Entity type:Individual
Prefix:MRS
First Name:CIARA
Middle Name:JADE
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:CSFA
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Other - Credentials:
Mailing Address - Street 1:3009 HUDSON RIVERS CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:DANIELSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30633-2015
Mailing Address - Country:US
Mailing Address - Phone:706-983-2273
Mailing Address - Fax:
Practice Address - Street 1:245 FLOYD DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30607-1469
Practice Address - Country:US
Practice Address - Phone:762-356-4780
Practice Address - Fax:706-608-7597
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA201508246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty