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Organization
VAUGHAN REGIONAL MEDICAL CENTER LLC
Active
Organization
VAUGHAN REGIONAL MEDICAL CENTER LLC
Active
Other names
Vaughan Regional Medical Center-Parkway Campus
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY J. TEAGUE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
1015 MEDICAL CENTER PKWY, SELMA, AL 36701-6748
(334) 418-4100
(334) 418-3599
Mailing address
1015 MEDICAL CENTER PKWY, SELMA, AL 36701-6748
(334) 418-4100
(334) 418-3599
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529910180
—
AL
Enumeration date
12/13/2006
Last updated
09/09/2019
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