Provider Demographics
NPI:1548070683
Name:VAUGHTERS FAMILY PRACTICE LLC
Entity type:Organization
Organization Name:VAUGHTERS FAMILY PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEEDEE
Authorized Official - Middle Name:HARDEE
Authorized Official - Last Name:VAUGHTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-439-5701
Mailing Address - Street 1:PO BOX 5035
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29804-5035
Mailing Address - Country:US
Mailing Address - Phone:803-648-3130
Mailing Address - Fax:803-648-9860
Practice Address - Street 1:1908A PAWNEE ST
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-6006
Practice Address - Country:US
Practice Address - Phone:803-648-3130
Practice Address - Fax:803-648-9860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty