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Organization
DRS. LONG AND VAUGHAN, P.A.
Active
Organization
DRS. LONG AND VAUGHAN, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD REID VAUGHAN M.D. (CORPORATE PRESIDENT)
(864) 295-2444
Entity
Organization
Contact information
Practice address
18 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4452
(864) 295-2444
Mailing address
18 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4452
(864) 295-2444
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
10030
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA2924
—
SC
Enumeration date
05/11/2006
Last updated
08/22/2020
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