# VAUGHAN PHYSICIAN PRACTICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vaughan Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629310958
- **Authorized official:** PHILLIP L COWART (DIRECTOR)
- **Authorized official phone:** (334) 418-4113

## Contact information

- **Practice address:** 1013 MEDICAL CENTER PKWY BLDG 2, SELMA, AL 36701-6742
- **Practice address phone:** (334) 418-4113
- **Practice address fax:** (334) 418-3599
- **Mailing address:** 200 VAUGHAN MEMORIAL DR, SELMA, AL 36701-6508
- **Mailing address phone:** (334) 418-4113
- **Mailing address fax:** (334) 418-3599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | AL | Yes |

## Other

- **Enumeration date:** 03/25/2013
- **Last updated:** 10/05/2021