Andrew Douglas Vaughan, M.D.
Family Medicine in Columbia, SC. Individual provider (NPI-1).
NPI number1750762167
StatusActive
Last updated in NPPESAug 29, 2018
Details
- NPI
- 1750762167
- Entity type
- Individual (NPI-1)
- Name
- Andrew Douglas Vaughan
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2015
- Last updated
- Aug 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 38406 | SC | Yes |
| 207Q00000X | Family Medicine | LL38406 | SC |
Practice location
3209 Colonial DriveFamily Medicine Center
Columbia, SC 29203
Phone 803-434-6113 · Fax 803-434-8478
Mailing address
Po Box 743904Atlanta, GA 30374-3904
Phone 803-296-7320 · Fax 803-296-7330
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