# PERFORM MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578392924
- **Authorized official:** TAYLOR VAUGHAN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (606) 232-1064

## Contact information

- **Practice address:** 5500 FRONT ST STE 250, SUMMERVILLE, SC 29486-8140
- **Practice address phone:** (843) 278-8474
- **Mailing address:** 5500 FRONT ST STE 250, SUMMERVILLE, SC 29486-8140
- **Mailing address phone:** (843) 278-8474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 08/01/2024
- **Last updated:** 11/03/2025