Individual
ADAM BOYD VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
Mailing address
16 WOODWINDS CV, JACKSON, TN 38305-7407
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
5572
TN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/27/2023
Last updated
04/01/2024
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