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Individual

ASHLEY VAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
890 W FARIS RD STE 310, GREENVILLE, SC 29605-4281
(864) 455-8300
(864) 455-8310
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
83073
SC
2086S0102X
Surgical Critical Care Physician
Primary
83073
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
830738
SC
Enumeration date
03/15/2016
Last updated
01/25/2023
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