Individual
WINSTON WALLACE VAUGHT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E CHEVES ST, STE 350, FLORENCE, SC 29506-2650
(843) 777-7500
(843) 777-7563
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 665-2000
(843) 669-1701
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
13703
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137033
—
SC
Enumeration date
07/20/2005
Last updated
12/05/2016
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