# DR. MARY C. VAUGHAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154399905
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0101050803 | VA | — |
| 207V00000X | Obstetrics & Gynecology Physician | MD17375 | ME | Yes |

## Other

- **Enumeration date:** 03/09/2006
- **Last updated:** 10/29/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | -010 | TRICARE/CHAMPUS | VA |
| 05 | — | 006207359 | — | VA |
| 01 | — | 0633B | NC BC/BS | NC |
| 05 | — | 1154399905 | — | ME |
| 05 | — | 1154399905 | — | VA |
| 01 | — | 14067 | SENTARA OPTIMA | VA |
| 01 | — | 236908 | UHC/MAMSI | — |
| 01 | — | 320762 | ANTHEM | VA |
| 05 | — | 890633B | — | NC |
| 01 | — | PAR | AETNA | VA |