Individual
HEIDI VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1215 LEE ST # 800904, CHARLOTTESVILLE, VA 22908-0816
(434) 982-1018
(434) 924-9492
Mailing address
1215 LEE ST BOX 800904, CHARLOTTESVILLE, VA 22908-0816
(434) 982-1018
(434) 924-9492
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
0101280280
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
10/20/2023
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